DR. JEFFREY LANE KINGSBURY (NPI# 1366423923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423923 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LANE KINGSBURY |
| Credential | M.D., M.P.H. |
| Practice Address |
Womack Army Medical Center Fort Bragg NC 28310-0001 |
| Mailing Address |
9013 Kalmia Dr Hope Mills NC 28348-9266 |
| Practice Telephone | 9103967217 |
| Mailing Telephone | 9104297414 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
0101047857 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
WOMACK ARMY MEDICAL CENTER |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288724 | Kabita Bista | Military Health Care Provider | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2018-09-07 |
| 1841517638 | Samuel Neal Blacker | Anesthesiology | Womack Army Medical Center, Fort Bragg, NC 28310-3017 | 2010-05-03 |
| 1528233806 | Catherine Theresa Bush | Speech-Language Pathologist | Womack Army Medical Center, Fort Bragg, NC 28310 | 2008-04-28 |
| 1831362870 | Craig Edwards | Psychologist | Womack Army Medical Center, Department of Behavioral Health, Fort Bragg, NC 28310 | 2008-04-10 |
| 1497926042 | Melanie Nicole Leadley | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2008-03-21 |
| 1457547143 | Amanda Hammonds | Military Hospital | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2007-09-17 |
| 1417996539 | Lynnette Clark | Audiologist | Womack Army Medical Center, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-06-05 |
| 1841244688 | James Edward Czarnik | Emergency Medicine | Womack Army Medical Center, Fort Bragg, NC 28310 | 2006-05-19 |
| 1083671143 | Hillarie Ann Saul-rothman | Radiology | Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-05-01 |
| 1225091994 | Sandra Moore Murrell | Physician Assistant | Womack Army Medical Center, Fort Bragg, NC 28310-0001 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445325 | Tonya Blache | Preventive Medicine | 1117 Chilmark Ave, Wake Forest, NC 27587-5334 | 2015-08-28 |
| 1366821191 | Health Hero Usa LLC | Preventive Medicine | 7845 Colony Rd, Suite C4 #262, Charlotte, NC 28226-7681 | 2015-05-26 |
| 1467696807 | Thomas Warden Morris | Preventive Medicine | 514 Daniels St, Suite 187, Raleigh, NC 27605-1317 | 2009-04-29 |
| 1922246065 | Peter Delaney Morris | Preventive Medicine | 2020 Yonkers Rd, Raleigh, NC 27699-0001 | 2009-01-28 |
| 1114196920 | Dianne Seaman Mathews | Preventive Medicine | 7601 Radin Rd, Clinic, Waxhaw, NC 28173-9158 | 2008-02-26 |
| 1891981247 | Charles Timothy Monroe | Preventive Medicine | 799 N Highland Ave, Winston Salem, NC 27102-0686 | 2007-09-19 |
| 1629283718 | Sharon Lee Norling | Preventive Medicine | 1507 Haywood Rd Ste E, Hendersonville, NC 28791-2333 | 2007-05-11 |
| 1982652558 | John Thomas Ashley | Preventive Medicine | 81 Horizon Hill Rd, Asheville, NC 28804-2429 | 2006-05-05 |
| 1679530752 | David F. Ward | Preventive Medicine | 35 W Jordan St, Brevard, NC 28712-3675 | 2006-05-01 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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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.