DR. LUKE JOSEPH DELAIN (NPI# 1104323468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104323468 |
Entity Type | Individual |
Full Name | DR. LUKE JOSEPH DELAIN |
Credential | DO |
Practice Address |
1599 J St Grand Forks Afb ND 58205-6306 |
Mailing Address |
1458 Nevada Dr Unit B Grand Forks Afb ND 58204-1499 |
Practice Telephone | 7634643669 |
Mailing Telephone | 7634643669 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2019-09-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171000000X | Military Health Care Provider | 02005757A | IN | Other Service Providers |
Street Address |
1599 J ST |
City | GRAND FORKS AFB |
State | ND |
Zip Code | 58205-6306 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801882980 | Heather A Ray | Pharmacist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2005-09-23 |
1841837309 | Spencer Allen Wallace | Pharmacist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2019-12-04 |
1952868606 | Amanda Ammentorp | Preventive Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2019-02-28 |
1982181749 | Laine Maren Gordon | Social Worker | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2018-07-25 |
1447791694 | Romi Abouzedan | Physical Therapist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2017-03-20 |
1134579030 | Lindsay Snow | Family Medicine | 1599 J St, Grand Forks Afb, ND 58205 | 2016-06-21 |
1871948141 | Eric Engstrom | Pediatrics | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2016-04-25 |
1891157061 | Timothy Reid | Family Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2016-03-25 |
1609246198 | Linda M Dunnigan | Registered Nurse | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2015-09-28 |
1538548714 | Philip Cushman IIi | Preventive Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2015-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982144887 | Abigail Jane Williams | Pharmacy Technician | Grand Forks Air Force Base, Grand Forks, ND 58205 | 2017-02-27 |
1275972051 | Joshua James Obholz | Student in an Organized Health Care Education/Training Program | 1599 J Street Building 109, Grand Forks Afb, ND 58205 | 2013-06-14 |
1740541218 | Katie Frushour | Dietitian, Registered | 449 Tuskegee Airman Boulevard, Building 308, Grand Forks, ND 58205 | 2012-05-31 |
1699741272 | Howard R Givens | Family Medicine | 319 Mdg, 1599 J Street, Grand Forks Afb, ND 58205 | 2006-02-24 |
1942271747 | Malaysia Helene Gresham | Social Worker | 319th Medical Group, 1599 J Street, Grand Forks, ND 58205 | 2006-01-30 |
1538150537 | Benjamin Scott Fenger | Dentist | 319 Aeromedical-dental Squadron/sggd, 1599 J St. Bldg. 109a, Grand Forks Afb, ND 58205 | 2005-10-31 |
1275926172 | Aleksandra Wantke | Psychologist | 319th Medical Group, 1599 J Street, Grand Forks Afb, ND 58205 | 2015-03-17 |
1023390473 | Jon Federspiel | Dentist | 319th Medical Group, 1599 J Street, Grand Forks, ND 58205 | 2011-09-12 |
1366541682 | 319th Medical Group | Military/U.S. Coast Guard Pharmacy | 1599 J St Bldg 109, C/o 3rd Party Collections, Grand Forks Afb, ND 58205-6306 | 2006-09-22 |
1144218504 | Jennifer Anne Hasslen | Dentist | 1599 J St Bldg 109a, Grand Forks Afb, ND 58205-6306 | 2005-10-11 |
Find all providers in zip 58205 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417919366 | Ramil Agana Ascano | Military Health Care Provider | 103 Sunset Loop, Apt 2, Minot Afb, ND 58704-1905 | 2006-04-05 |
1265731939 | Alexis Marie Paschal | Military Health Care Provider | 194 Missile Ave, Minot Afb, ND 58705-0000 | 2011-03-21 |
City | GRAND FORKS AFB |
Zip Code | 58205 |
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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.