DAVID PANBOON (NPI# 1255515573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255515573 |
| Entity Type | Individual |
| Full Name | DAVID PANBOON |
| Credential | PA-C |
| Practice Address |
4881 Sugar Maple Dr Wright Patterson Afb OH 45433-5529 |
| Practice Telephone | 9372554340 |
| Mailing Telephone | 9372554347 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2018-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
4881 SUGAR MAPLE DR |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433-5529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442813 | Michael Anthony Salerno | Military Health Care Provider | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-18 |
| 1780209957 | Stacey O'donnell | Nurse Anesthetist, Certified Registered | 4881 Sugar Maple Dr, 88mdg/sgcj, Wright Patterson Afb, OH 45433 | 2020-06-12 |
| 1043834328 | William Woodfin Crosby | Nurse Practitioner | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-03 |
| 1447872833 | Dayton Vamc | Clinic/Center | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-05-08 |
| 1629697750 | Firas Zako | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-09 |
| 1235768540 | Jacob David Harley | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-07 |
| 1326696527 | Rebecca Noel Seagraves | Pharmacist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-08-30 |
| 1154974095 | Lori Saturley | Dental Hygienist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-07-19 |
| 1902463987 | Stephen Seth Childers | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-05-24 |
| 1306409479 | Sean Roberts | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| 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 |
|---|---|---|---|---|
| 1902451123 | Anna K Davis | Military Health Care Provider | 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2019-08-05 |
| 1295711166 | Laura Torres-reyes | Military Health Care Provider | 2510 5th St Bldg 840, Wright Patterson Afb, OH 45433-7951 | 2005-12-21 |
| 1578546693 | James Cameron Haak | Military Health Care Provider | 4881 Sugar Maple Dr, 88 Mdg/ Sgqx, Wright Patterson Afb, OH 45433-5546 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993549 | Jacqueline Marie Bailey | Military Health Care Provider | 3382 Deshler Dr, Cincinnati, OH 45251-2106 | 2018-12-11 |
| 1215435300 | Shirley D Jones | Military Health Care Provider | 1450 Heights View Dr, Akron, OH 44305-1333 | 2018-01-24 |
| 1578913067 | Myo-my Massage and Fitness Cafe, LLC | Military Health Care Provider | 12075 Havana Rd, Garfield Heights, OH 44125-4508 | 2016-06-15 |
| 1780065946 | Jacqueline Noel Gray | Military Health Care Provider | 1972 State Route 73, Peebles, OH 45660-9587 | 2015-06-13 |
| 1891067385 | Constance Bieshada | Military Health Care Provider | 34475 Stone Ct Apt 7, Apt 7, Willoughby Hills, OH 44094-2984 | 2012-01-31 |
| 1518058866 | Donald Merz | Military Health Care Provider | 11956 Britesilks Ln, Cincinnati, OH 45249-1284 | 2006-09-28 |
| 1821039272 | Aquilio Corpuz Agliam | Military Health Care Provider | 5863 N Crossview Rd, Seven Hills, OH 44131-1919 | 2006-06-09 |
| 1396733192 | Eric Randel Schwarz | Military Health Care Provider | 3537 Emeraldcut Dr, Appartment #14, Beavercreek, OH 45431-3759 | 2005-10-06 |
| 1558962035 | Helen Walters | Military Health Care Provider | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2020-11-03 |
| 1326672619 | Caleb Evan Mcclary | Military Health Care Provider | 4881 Sugar Maple Dr, Dayton, OH 45433-5529 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
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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.