MATTHEW MIDDLETON FANNING (NPI# 1295155141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295155141 |
Entity Type | Individual |
Full Name | MATTHEW MIDDLETON FANNING |
Credential | CRNA |
Practice Address |
B Co, 121st Csh Box #344, Unit #15244 Apo AP 96205 |
Mailing Address |
216 Aiken Hunt Cir Columbia SC 29223-8405 |
Practice Telephone | 3157371352 |
Enumeration Date | 2014-04-18 |
Last Update Date | 2014-04-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 286500000X | Military Hospital | RN226805 | GA | Hospitals |
Street Address |
B CO, 121ST CSH BOX #344, UNIT #15244 |
City | APO |
State | AP |
Zip Code | 96205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518450394 | Charles D Walker | Nurse Practitioner | 0121 Md Hsp Combat Support, Apo, AP 96205 | 2018-06-07 |
1952815235 | Robert Martinusek | Physical Therapist | Brian Allgood Army Community Hospital Unit 15543, Bldg 7005, Apo, AP 96205 | 2017-11-26 |
1659897056 | Laura Tsu | Dentist | 618 Mc Co Dental Com Wbpdaa, Yong San, AP 96205 | 2017-08-17 |
1962959502 | Amy Lee Wooten | Nurse Anesthetist, Certified Registered | Brian Allgood Army Hospital, Unit 15244, Camp Humphreys, KOREA 96205 | 2016-09-01 |
1912451105 | Laurel Alison Kessler | Dentist | 618 Md Co Dental Company, Apo, AP 96205 | 2016-08-05 |
1396116059 | Stephanie Louise Wheeler | Counselor | Hq, Usameddac-korea, Unit 15281, Apo, AP 96205 | 2015-10-07 |
1720454994 | Jared Colin Stewart | Dentist | 618th Dental Company, Usa Dentac Korea, Unit 15652, Apo, AP 96205 | 2015-08-11 |
1356717524 | John Carmen Warren | Dentist | 618th Dental Company, Usa Dentac - Korea, Unit # 15652, Apo, AP 96205 | 2015-08-11 |
1912381823 | Chanise Garvin-dumay | Registered Nurse | 121 Csh/baach. Pad, Yongsan, Apo, AP 96205 | 2015-07-10 |
1245611854 | Sabrina Emerald Kunciw | Family Medicine | 121 Csh/baach, Building #17005, Apo, AP 96205 | 2015-06-10 |
Find all providers in zip 96205 |
Taxonomy Code | 286500000X |
Grouping | Hospitals |
Classification | Military Hospital |
A health care facility operated by the Department of Defense. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689121006 | Carl Darnall Army Medical Center | Military Hospital | Carl Darnall Army Medical Center, 36065 Sante Fe Ave, Apo, AA 76544-9997 | 2016-09-01 |
1790181642 | Romeo Ayalin IIi | Military Hospital | Psc 78 Box 999, Apo, AP 96326-0009 | 2014-11-05 |
1760723894 | Meddac J | Military Hospital | Psc 704 Box 3304, Apo, AP 96338-0014 | 2013-03-14 |
1306108394 | Landstuhl Regional Medical Center | Military Hospital | Landstuhl Regional Medical Cneter, Cmr 402, Apo, AE 09180-0000 | 2012-06-14 |
1902103880 | Us Army Health Clinic Baumholder | Military Hospital | Usahc-baumholder, Unit 23809 Box 52, Apo, AE 09034-0077 | 2011-02-11 |
1831418904 | Us Army Medical Department Activity Korea Unit 15244 Apo Ap 96205-5244 | Military Hospital | Hhd Usag Cp Casey, Unit# 15543, Apo, AP 96224-5543 | 2010-05-27 |
1598083461 | Department of The Army | Military Hospital | Us Army Medical Department Activity-korea, Unit 15244, Apo, AP 96205-5244 | 2010-05-17 |
1619104551 | Matthew Vincent Taddei | Military Hospital | A Co 121 Csh, Unit 15244 Box 151, Apo, AP 96205-5244 | 2009-06-18 |
1396972238 | United States Air Force | Military Hospital | Psc 3 Box 692, Apo, AP 96266 | 2009-06-18 |
1538394564 | Usaf | Military Hospital | Psc 103 Box 2882, Apo, AE 09603-0029 | 2009-05-20 |
Find all providers in APO |
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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.