DAVID MASON (NPI# 1245896489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245896489 |
| Entity Type | Individual |
| Full Name | DAVID MASON |
| Credential | DO |
| Practice Address |
307 Boatner Rd Eglin Afb FL 32542-1302 |
| Mailing Address |
1024 E Lehi Rd Mesa AZ 85203-1910 |
| Practice Telephone | 8508838920 |
| Mailing Telephone | 4802783587 |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-05-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164943510 | David Hout Mason Jr. | Internal Medicine | 3615 Paper Mill Rd Se, Marietta, GA 30067-4938 | 2017-07-06 |
| 1982082830 | David R Mason | Chiropractor | 1140 Mangrove Ave, Ste C, Chico, CA 95926-3500 | 2015-05-12 |
| 1164568523 | David Crawford Mason | Chiropractor | 626 N Main St, Rochester, MI 48307-1487 | 2007-01-30 |
| 1649210766 | David Mason | Physician Assistant | 502 W Saint Louis St Ste 4, West Frankfort, IL 62896-1968 | 2006-06-07 |
| 1376592873 | David R Mason | Chiropractor | 1441 New Highway 96 W, Suite 3, Franklin, TN 37064-4830 | 2006-05-10 |
| 1689679540 | David Laron Mason | Surgery | 2060 Space Park Drive, Suite 202, Nassau Bay, TX 77058-3676 | 2005-06-16 |
| 1790261550 | David Kenneth Mason | Nurse Practitioner | 1619 Creighton Rd Ste 1, Pensacola, FL 32504-7152 | 2018-07-16 |
| 1932477668 | David Mason | Counselor | 10339a Democracy Ln, Fairfax, VA 22030-2521 | 2011-12-08 |
| 1699951749 | David Mason | Counselor | 601 Foote St, Corinth, MS 38834-4834 | 2008-01-18 |
| 1780881730 | David Dale Mason | Counselor | 2090 Commerce Ave, Concord, CA 94520-4902 | 2007-07-02 |
| Street Address |
307 BOATNER RD |
| City | EGLIN AFB |
| State | FL |
| Zip Code | 32542-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618987 | Clarence E Pearson | Internal Medicine | 307 Boatner Rd, Suite 114, Eglin Afb, FL 32542-1302 | 2005-06-08 |
| 1821600024 | David George Morrison Jr. | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-08-19 |
| 1679185250 | Peter Andrew Watters | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-08-17 |
| 1558981365 | Kassandra Martinez-campos | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-04-22 |
| 1023638830 | Chanute Lockhart | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2020-04-22 |
| 1801434964 | Bryan Meek | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-12-19 |
| 1710525936 | Kaitlin Dickson | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-12-18 |
| 1376186213 | Kayle Elizabeth Southerland | Military Health Care Provider | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-10-23 |
| 1902452063 | Justin Michael Rhoads | Pharmacist | 307 Boatner Rd, Eglin Afb, FL 32542-1302 | 2019-08-14 |
| 1295389609 | Joseph Clarence Smith Jr. | Physician Assistant | 307 Boatner Rd, Eglin Afb, FL 32542 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
| 1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
| 1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
| 1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
| 1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
| 1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
| 1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
| Find all providers in zip 32542 | ||||
| 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 |
|---|---|---|---|---|
| 1295364735 | Ashley Nicole Kilby | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-06 |
| 1063075414 | Christopher Lillenberg | Student in an Organized Health Care Education/Training Program | 350 Boatner Rd, Eglin Afb, FL 32542-1391 | 2019-04-20 |
| 1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
| 1992327779 | Janel Montfort-tunstall | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-14 |
| 1366064396 | Ishan Chopra | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-13 |
| 1396367389 | Matthew Christopher Little | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-05-12 |
| 1538781513 | Danielle Marie Wilkin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-05-12 |
| 1871112979 | Miguel Guzman Jr. | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-09 |
| 1407484561 | Jenna Garvin | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd Bldg 2751, Eglin Afb, FL 32542-1391 | 2020-04-01 |
| 1750917597 | Kyle Olsen | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Eglin Afb, FL 32542-1391 | 2020-03-12 |
| Find all providers in EGLIN AFB | ||||
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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.