DR. OLIVIA ROSEMARY TIGHE (NPI# 1386106409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386106409 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA ROSEMARY TIGHE |
| Credential | MD |
| Practice Address |
271 Fort Richardson Ave Goodfellow Afb TX 76908 |
| Practice Telephone | 3256543117 |
| Mailing Telephone | 3256543117 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2315 Stockton Blvd, Sacramento, CA 958172201 | 9167347797 |
| Street Address |
271 FORT RICHARDSON AVE |
| City | GOODFELLOW AFB |
| State | TX |
| Zip Code | 76908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780662197 | Clifton Wallace Bailey | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2006-01-05 |
| 1487290912 | Stacy Poindexter | Pharmacist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2019-11-19 |
| 1326545450 | Matthew Thomas Bean | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2018-04-05 |
| 1548779234 | Stravens Moseti Omwenga | Nurse Practitioner | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-09-25 |
| 1326576521 | Aleksandr Golden Mcpike | Military Health Care Provider | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-06-01 |
| 1295263663 | Peter Dang | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2017-05-30 |
| 1306385083 | Latoya Danielle Johnson | Physician Assistant | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-02-15 |
| 1235687799 | Thomas Montgomery | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-09-13 |
| 1497201925 | Samantha Slikkers | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-08-25 |
| 1043688849 | Aubrie Wnek | Pharmacist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2015-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| 1679649750 | Denise Robin Lyons | Dentist | Dept of The Air Force, 17th Dental Flight (aetc), Goodfellow Afb, TX 76908 | 2006-11-28 |
| 1326132010 | David Franklin-fernandez | Physician Assistant | 271 Fort Richardson, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1609961077 | Iris Belmar Ortiz Gonzalez | Dentist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1861705865 | Justin T Gathercoal | Family Medicine | 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 | 2010-07-19 |
| 1609936848 | Robert Wesley Rainey | Pharmacist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-12-11 |
| 1760034698 | Lisbet Ivicic | Nurse Practitioner | 351 Kearney Blvd, San Angelo, TX 76908-3215 | 2019-07-11 |
| 1164088266 | Paul B Brown | Optometrist | 271 Fort Richardson Ave Ste 356, San Angelo, TX 76908-4901 | 2019-05-14 |
| 1821572561 | Andrew Amadeus De Los Reyes | Military Health Care Provider | 271 Fort Richardson Ave Bldg 1001, Goodfellow Afb, TX 76908-4901 | 2018-09-19 |
| Find all providers in zip 76908 | ||||
| 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 |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1346629094 | Grada Berry | Military Health Care Provider | 2520 Heather Brook Ln Apt 804, Arlington, TX 76006-5177 | 2015-05-28 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
| 1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1215190004 | Joni Patricia Gumban | Military Health Care Provider | 409 Greene St, Webster, TX 77598-6701 | 2008-07-02 |
| Find all providers with the same taxonomy | ||||
| City | GOODFELLOW AFB |
| Zip Code | 76908 |
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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.