DR. PAMELA PHYLLIS WARD-DEMO (NPI# 1396980843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396980843 |
| Entity Type | Individual |
| Full Name | DR. PAMELA PHYLLIS WARD-DEMO |
| Other Name | DR. PAMELA PHYLLIS WARD |
| Credential | MD, DVM |
| Practice Address |
4881 Sugar Maple Dr 88th Medical Group Internal Medicine Wright-patterson Afb OH 45433 |
| Mailing Address |
3551 Roger Brooke Dr Infectious Disease Clinic Fort Sam Houston TX 78234-4504 |
| Practice Telephone | 9376087889 |
| Mailing Telephone | 2109165554 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2013-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01067658A | IN | Allopathic & Osteopathic Physicians |
| Street Address |
4881 SUGAR MAPLE DR 88TH MEDICAL GROUP INTERNAL MEDICINE |
| City | WRIGHT-PATTERSON AFB |
| State | OH |
| Zip Code | 45433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649710427 | Catherine M Ware | Psychologist | 4881 Sugar Maple Dr, 88mdos/sgow, Wright-patterson Afb, OH 45433 | 2017-02-28 |
| 1720279888 | Robert Adam Freeman | Pediatrics | 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433-5529 | 2007-08-05 |
| 1629098876 | Maureen Noel Williams | Family Medicine | 4881 Sugar Maple Dr, 88 Mdg/sghj, Wright-patterson Afb, OH 45433 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
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| Find all providers with the same taxonomy | ||||
| City | WRIGHT-PATTERSON AFB |
| Zip Code | 45433 |
Please comment or provide details below to improve the information on DR. PAMELA PHYLLIS WARD-DEMO.
| 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.