MR. EARNEST CHARLES WASHINGTON (NPI# 1093739468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093739468 |
Entity Type | Individual |
Full Name | MR. EARNEST CHARLES WASHINGTON |
Credential | IDC |
Practice Address |
Naval Hospital Beaufort Beaufort SC 29902 |
Mailing Address |
3649 Craggy Perch Douglasville GA 30135-8718 |
Practice Telephone | 8432283384 |
Mailing Telephone | 8432283384 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
Street Address |
NAVAL HOSPITAL BEAUFORT |
City | BEAUFORT |
State | SC |
Zip Code | 29902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750366373 | Christopher Jon Kardohely | Podiatrist | Naval Hospital Beaufort, 1 Pickney Blvd., Beaufort, SC 29902 | 2005-12-07 |
1366904229 | Jacob Prows | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd, Building 1, Beaufort, SC 29902 | 2019-04-01 |
1508351339 | Nathaniel Maxwell Caple | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd, Beaufort, SC 29902 | 2018-06-25 |
1467976688 | Emily Jean Pietrucha | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd, Beaufort, SC 29902 | 2017-07-30 |
1437266418 | Stephanie Lynne Ford | Nurse Practitioner | Naval Hospital Beaufort, 1 Pinckney Blvd Attn Professional Affairs Coordinator, Beaufort, SC 29902-6148 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
Find all providers in zip 29902 |
Taxonomy Code | 261QM1100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Military/U.S. Coast Guard Outpatient |
The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427233048 | Raymond Glenn Smith | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-01-02 |
1083897656 | William Daniel Sanchez Jr. | Clinic/Center | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2007-12-06 |
1255391538 | Branch Medical Clinic Mcas Beaufort | Clinic/Center | Bldg 598, Beaufort, SC 29904 | 2006-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972823722 | Moncrief Army Community Hospital | Clinic/Center | 1021 Pinnancle Point, Moncrief Medical Home-jackson, Columbia, SC 29223-5740 | 2010-06-03 |
1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
1932304946 | Moncrief Army Community Hospital | Clinic/Center | 4590 Strom Thurmond Blvd, Columbia, SC 29207-5305 | 2007-06-19 |
1770517658 | Naval Health Clinic Charleston | Clinic/Center | 110 Nnptc Circle, Ubo/tpc, Goose Creek, SC 29445 | 2006-07-10 |
1629038997 | Branch Medical Clinic Parris Island | Clinic/Center | Bldg 598, Parris Island, SC 29905 | 2006-03-23 |
1316228448 | Moncrief Army Community Hospital | Clinic/Center | 4323 Hill St, Columbia, SC 29207-6022 | 2011-09-02 |
1942406764 | Moncrief Army Community Hospital | Clinic/Center | 4500 Stuart St, Us Army Dental Clinic, Columbia, SC 29207-5700 | 2007-06-27 |
1942416755 | Moncrief Army Community Hospital | Clinic/Center | 4500 Stuart St, Usapec, Columbia, SC 29207-5700 | 2007-05-16 |
1285840512 | Moncrief Army Community Hospital | Clinic/Center | 4500 Stuart St, Bldg 4575, Columbia, SC 29207-5700 | 2007-05-15 |
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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.