ERIK HEGEMAN (NPI# 1235764176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235764176 |
| Entity Type | Individual |
| Full Name | ERIK HEGEMAN |
| Credential | MD |
| Practice Address |
3551 Roger Brooke Dr. Mche-zso, Orthopaedic Residency Jbsa-fort Sam Houston TX 78234-4504 |
| Mailing Address |
3551 Roger Brooke Dr Mche-zso Dept Orthopaedics Jbsa Ft Sam Houston TX 78234-4504 |
| Practice Telephone | 2109161284 |
| Practice Fax Number | 2109167323 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
3551 ROGER BROOKE DR. MCHE-ZSO, ORTHOPAEDIC RESIDENCY |
| City | JBSA-FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235766569 | Shawn Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Sammc, Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234 | 2020-03-25 |
| 1780218743 | Josiah L Kietzman | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-02-28 |
| 1740748466 | Ian Prichard | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2019-03-12 |
| 1851885123 | Thomas Brian Lynch | Military Health Care Provider | 3551 Roger Brooke Dr., San Antonio Military Center, Mche-zso, Orthopaedic Resi, Jbsa-fort Sam Houston, TX 78234 | 2018-06-19 |
| 1679060578 | Nicholas Hodgeman | General Practice | 3551 Roger Brooke Dr., , Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-16 |
| 1972044568 | William Neale Bennett V | Internal Medicine | 3551 Roger Brooke Dr., Infectious Disease, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-03-15 |
| 1578948964 | Cynthia Natalia Avery | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Sammc, Mche-mdx, Internal Medicine Residency., Jbsa-fort Sam Houston, TX 78238-4504 | 2015-07-27 |
| 1255764791 | Daniel Vernon Foster | General Practice | 3551 Roger Brooke Dr., San Antonio Military Medical Center, Mche-zdm-m, Jbsa-fort Sam Houston, TX 78234-4504 | 2013-08-20 |
| 1710229166 | John Leo Kiley | Internal Medicine | 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1538627245 | Joshua Luster | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Internal Medicine, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2019-03-12 |
| 1386131381 | Daniel Jonathan Silver | Student in an Organized Health Care Education/Training Program | 3551 Brooke Drive, Jbsa-fort Sam Houston, TX 78234-4504 | 2018-04-16 |
| 1457880379 | Michelle Lea Browning | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., San Antonio Military Medical Center, Jbsa-fort Sam Houston, TX 78234-4504 | 2017-06-05 |
| 1053774224 | Jason Carl Stickel | Student in an Organized Health Care Education/Training Program | San Antonio Military Med Center 3551 Roger Brooke Dr, Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2016-04-04 |
| 1154940070 | Aneesh Atul Bapodra | Student in an Organized Health Care Education/Training Program | Sammc, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-04-10 |
| 1235766569 | Shawn Kim | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Sammc, Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234 | 2020-03-25 |
| 1346876190 | Lauren Melissa Sweet | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-03-12 |
| 1780218743 | Josiah L Kietzman | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr., Mche-zdm-m, Internal Medicine Residency, Jbsa-fort Sam Houston, TX 78234-4504 | 2020-02-28 |
| 1124651716 | Bryce Raymon Christensen | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234-4504 | 2020-02-21 |
| Find all providers in JBSA-FORT SAM HOUSTON | ||||
| City | JBSA-FORT SAM HOUSTON |
| Zip Code | 78234 |
Please comment or provide details below to improve the information on ERIK HEGEMAN.
| 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.