DEPARTMENT OF THE AIR FORCE (NPI# 1285618363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285618363 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF THE AIR FORCE |
| Other Organization Name | 72D MEDICAL GROUP |
| Practice Address |
5700 Arnold St Tinker Afb OK 73145-8105 |
| Practice Telephone | 4057362143 |
| Practice Fax Number | 4057362220 |
| Mailing Telephone | 4057362143 |
| Mailing Fax Number | 4057362220 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2010-11-12 |
| Authorized Official Name | SERENA LYNN HANSKEN (AIR FORCE UNIFORM BUSINESS OFFICE) |
| Authorized Official Telephone | 7035886419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 72D Medical Group | Other Name - Individual/Organization |
| Street Address |
5700 ARNOLD ST |
| City | TINKER AFB |
| State | OK |
| Zip Code | 73145-8105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051505 | Stacey Anne Frazier | Pediatrics | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2005-08-25 |
| 1104104595 | Maricruz Martinez | Dentist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2011-08-02 |
| 1831407006 | James Allan Pickren | Military Health Care Provider | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2010-09-21 |
| 1922338235 | Quynh Anh Hong Tran | Pharmacist | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2010-01-08 |
| 1881823128 | Audrey Lynn May-jones | Dentist | 5700 Arnold St, 72mdg/sgd, Tinker Afb, OK 73145-8105 | 2009-07-08 |
| 1255575577 | Stuart Scott Smith | Military Health Care Provider | 5700 Arnold St, Tinker Afb, OK 73145-8105 | 2009-04-30 |
| 1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
| 1811131980 | Jackie Glen Whitten Jr. | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-21 |
| 1083857189 | Jeanne Ann Lewis | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-20 |
| 1578706602 | Brandi Nicole Kelley | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145-8105 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
| 1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
| 1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
| 1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
| 1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
| 1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
| 1598148850 | Adrianna Harrell | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145 | 2015-07-06 |
| 1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
| 1699015032 | Alan Robert Miner | General Practice | 7050 Air Depot Blvd, Oklahoma City, OK 73145 | 2013-02-21 |
| 1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
| Find all providers in zip 73145 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912377649 | Reynolds Army Community Hospital | Clinic/Center | 3161 Hoskins Rd, Fort Sill, OK 73503-4462 | 2015-10-07 |
| 1740650464 | Reynolds Army Community Hospital | Clinic/Center | 3445 Koehler Loop, Fort Sill, OK 73503-6008 | 2015-10-07 |
| 1932480068 | Reynolds Army Community Hospital | Clinic/Center | 2640 Miner Rd, Fort Sill, OK 73503 | 2011-09-02 |
| 1427208008 | Reynolds Army Community Hospital | Clinic/Center | 2913 Craig Road, Fort Sill, OK 73503 | 2008-09-19 |
| 1760688220 | Reynolds Army Community Hospital | Clinic/Center | 2862 Craig Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1881890358 | Reynolds Army Community Hospital | Clinic/Center | 605 Randolph Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1699971143 | Reynolds Army Community Hospital | Clinic/Center | 6037 Bessinger Street, Fort Sill, OK 73503 | 2007-06-22 |
| 1821318668 | Reynolds Army Community Hospital | Clinic/Center | 5404 Sw Lee Blvd, Frontier Medical Home-sill, Lawton, OK 73505-9695 | 2010-06-03 |
| 1083810550 | Reynolds Army Community Hospital | Clinic/Center | 4301 Mow Way Road, Fort Sill, OK 73503 | 2007-06-22 |
| 1124234364 | Reynolds Army Community Hospital | Clinic/Center | 4301 Mow Way Road, Sgt Bleak Troop Medical Clinic, Fort Sill, OK 73503 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | TINKER AFB |
| Zip Code | 73145 |
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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.