UNITED STATES NAVY (NPI# 1043632771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043632771 |
| Entity Type | Organization |
| Organization Name | UNITED STATES NAVY |
| Other Organization Name | NAVY MEDICINE SUPPORT COMMAND |
| Practice Address |
2005 Knight Lane Bldg H Navy Medicine Support Command Attn: Medical Staff Svcs Jacksonville FL 32212-0140 |
| Practice Telephone | 7607253213 |
| Mailing Telephone | 7607253213 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | MR. DEREK EDWARD WEISS (PA) |
| Authorized Official Telephone | 7607253213 |
| Authorized Official Credential | MPAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1103X |
Clinic/Center Specialization: Military Ambulatory Procedure Visits Operational (Transportable) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Navy Medicine Support Command | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568905511 | United States Navy | Military Health Care Provider | 1st Mardiv 7th Marine Reg, Navpers Office Bldg 1525, 29 Palms, CA 92278-8150 | 2016-11-23 |
| 1235508557 | United States Navy | Clinic/Center | Psc Box 20098, Hq and Service Co, 1st Bn, 6th Marine Regt, 2d Mardiv, Camp Lejeune, NC 28542-0098 | 2015-09-16 |
| 1588066294 | United States Navy | Military Health Care Provider | Unit 38445, Fpo, AP 96373-8445 | 2014-09-24 |
| 1649682154 | United States Navy | Military Hospital | Logistics Support Unit Onemedic, 2424 Redova Rd Bldg 156, San Diego, CA 92155-5401 | 2014-06-02 |
| 1679824585 | United States Navy | Military Hospital | Bldg 14137, Camp Pendleton, CA 92055-5697 | 2012-10-02 |
| 1295009728 | United States Navy | Military Health Care Provider | 667 Orangewood Dr, Virginia Beach, VA 23453-2124 | 2012-03-01 |
| 1427328319 | United States Navy | Military Hospital | 2005 Knight Ln., Bldg H Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2012-01-09 |
| 1285916072 | United States Navy | Military Health Care Provider | 318 S French Ct, Virginia Beach, VA 23454-4225 | 2011-09-16 |
| 1396047866 | United States Navy | Military Hospital | 5065 Sunburst St, Joshua Tree, CA 92252-1831 | 2010-12-03 |
| 1881909380 | United States Navy | Military Hospital | 01 Boone Rd, Bremerton, WA 98382 | 2010-08-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNITED STATES NAVY MEMORIAL FOUNDATION | 701 Pennsylvania Ave Nw Ste 123, Washington, DC 20004-2688 |
| Street Address |
2005 KNIGHT LANE BLDG H NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828753 | Ruston L Hess | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Attn: Med Staff Services, Jacksonville, FL 32212-0140 | 2005-08-19 |
| 1346764586 | Nataly Yoncee | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-07-31 |
| 1538618392 | Scott Westra | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-22 |
| 1902354772 | Mark Warner | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-21 |
| 1124491352 | Maurice Hardy | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane Bldg H, Attn:medical Staff Services Navy Mecine Support Command, Jacksonville, FL 32212 | 2015-11-10 |
| 1457729931 | Andrew Korcek | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-14 |
| 1427434232 | William Paul Alexander | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-08-04 |
| 1023498797 | Chhama Sarawagi | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2015-06-08 |
| 1962806901 | Kathrina Sarmiento | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-10-20 |
| 1033528724 | Joseph Jarman | Dentist | 2005 Knight Lane Bldg H, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2014-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 261QM1103X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military Ambulatory Procedure Visits Operational (Transportable) |
| "Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174793848 | Fintan Heward | Clinic/Center | 250 Child Street, Jacksonville, FL 32214-0001 | 2008-03-09 |
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on UNITED STATES NAVY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.