ELISSA NICOLE BEEBE (NPI# 1316310832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316310832 |
| Entity Type | Individual |
| Full Name | ELISSA NICOLE BEEBE |
| Credential | PA-C |
| Practice Address |
Paf 51 Medical Operations Sq Ffm 130 Osan Ab KOREA 96278 KR |
| Practice Telephone | 9062827243 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
1316310832 | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1316310832 | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3551 Roger Brooke Dr, San Antonio, TX 78234 | 2109164141 |
| Street Address |
PAF 51 MEDICAL OPERATIONS SQ FFM 130 |
| City | OSAN AB |
| State | KOREA |
| Zip Code | 96278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902287972 | Anna Schaar Friend | Family Medicine | 777 Songtan Boulevard, Unit 2060, Apo, AP 96278 | 2015-06-15 |
| 1497012488 | Kevin M Phelan | Surgery | 51 Mdg, Unit 2060, Apo, AP 96278 | 2012-04-16 |
| 1922214782 | 121st Csh/baach | Clinic/Center | Unit 15494, Apo, AP 96278 | 2007-05-15 |
| 1548475619 | 121st Csh/baach | Clinic/Center | Unit 2097, Camp Walker, Apo, AP 96278 | 2007-05-11 |
| 1912028424 | Danny Eric Ervin | Social Worker | 51 Mdg Mdos, Unit 2060, Apo, AP 96278 | 2007-04-02 |
| 1477608321 | Carl Neighbors | Counselor | 51 Mdg Sgohf, Unit 2060, Apo, AP 96278 | 2007-01-23 |
| 1619043775 | Wonil William Chong | Dentist | 51st Medical Group/sghq, Unit 2060, Apo, AP 96278 | 2006-11-28 |
| 1134180185 | 51 Medical Group | Military Hospital | Resource Managment, Unit 2060, Apo, AP 96278 | 2006-03-29 |
| 1053390187 | Robert Lee Chaplin Jr. | Nurse Anesthetist, Certified Registered | 51 Mdos/sgosa, Bldg 777 Unit #2060, Apo, AP 96278 | 2006-01-17 |
| 1225028368 | Carrie Ashby Gregory | Emergency Medicine | 51st Medical Group, Unit 2060, Apo, AP 96278 | 2005-10-27 |
| Find all providers in zip 96278 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
Please comment or provide details below to improve the information on ELISSA NICOLE BEEBE.
| 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.