US NAVY (NPI# 1104202662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104202662 |
| Entity Type | Organization |
| Organization Name | US NAVY |
| Practice Address |
1 Pinckney Blvd Beaufort SC 29902-6122 |
| Mailing Address |
7034 W Aire Libre Ave Peoria AZ 85382-3963 |
| Practice Telephone | 8432285994 |
| Practice Fax Number | 8432285728 |
| Mailing Telephone | 6263212334 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Authorized Official Name | DR. GEORGE LEIGH WALRATH (DENTIST) |
| Authorized Official Telephone | 6263212334 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | DGD,8626.GD | SC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1750631685 | Us Navy | Exclusive Provider Organization | 207 Hickory Dr, Groton, CT 06340-2946 | 2012-09-18 |
| 1942503081 | Us Navy | Military Hospital | 3d Mlg Clr 37 Kgas, Unit 38404, Fpo, AP 96604-8404 | 2010-12-13 |
| 1982862728 | Us Navy | Clinic/Center | Psc 819 Box 1835, Fpo, AE 09645-1801 | 2008-05-29 |
| 1003021502 | Us Navy | Personal Emergency Response Attendant | 5972 Beechwalk Dr, Virginia Beach, VA 23464-4917 | 2007-05-10 |
| 1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
| 1427023332 | Us Navy | Military Hospital | Usnh Box 73, Fpo, AE 09589-1000 | 2006-02-22 |
| 1144291121 | Us Navy | Dentist | 502 Shoreline Rd, Carrollton, VA 23314-3368 | 2006-01-30 |
| 1154323665 | Us Navy | Clinic/Center | Mclb Barstow, Barstow, CA 92311-5050 | 2005-08-15 |
| 1730636903 | Us Navy | Clinic/Center | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-09-06 |
| Street Address |
1 PINCKNEY BLVD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| 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 | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659405496 | Naval Hospital Beaufort | Military Hospital | 1 Pinckney Blvd, Pharmacy Dept, Beaufort, SC 29902-6122 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205010337 | Francis Spinale | Military Hospital | 114 Doughty St, Rm 625, Charleston, SC 29403-5729 | 2007-12-26 |
| 1912192402 | Ralph H. Johnson Va Medical Center | Military Hospital | 91 Bogard St, Charleston, SC 29403-5230 | 2007-09-08 |
| 1760680854 | Dorn Vamc | Military Hospital | 9 Wiltshire Ct, Columbia, SC 29229-8762 | 2007-07-10 |
| 1649290347 | Stephen Perlstein | Military Hospital | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-07-19 |
| 1528517711 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St., Charleston, SC 29401 | 2016-09-28 |
| 1114391802 | Moncrief Army Hospital | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2015-11-19 |
| 1609269307 | Department of Defence | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2015-03-05 |
| 1134517329 | Ralph H. Johnson Veterans Affairs Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2014-12-23 |
| 1336574797 | Ralph H Johnson Vamc | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-09-04 |
| 1750722641 | George Francis Hudson | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-07-09 |
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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.