MIA DANIELLE DEBARROS (NPI# 1467783597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467783597 |
Entity Type | Individual |
Full Name | MIA DANIELLE DEBARROS |
Credential | MD |
Practice Address |
9040 Jackson Avenue Joint Base Lewis Mcchord WA 98431-1000 |
Practice Telephone | 2539682200 |
Mailing Telephone | 2539682200 |
Enumeration Date | 2010-01-29 |
Last Update Date | 2019-02-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 26423 | NE | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | MEDICAL LICENSE | 60666886 | 01 |
NE | MEDICAL LICENSE | 26423 | 01 |
MA | MEDICAL LICENSE | 278192 | 01 |
Street Address |
9040 JACKSON AVENUE |
City | JOINT BASE LEWIS MCCHORD |
State | WA |
Zip Code | 98431-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972000925 | Stephanie Katherine Skelly | General Practice | 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-7141 | 2018-04-06 |
1891047858 | Rachel M Satter | Psychologist | 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-0001 | 2012-10-15 |
1376821215 | William Eade Garrison | Optometrist | 9040 Jackson Avenue, Joint Base Lewis Mcchord, WA 98431-5741 | 2011-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962902825 | Jace John Philip Franko | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-0001 | 2018-02-17 |
1255866869 | Douglas Ryan Morte | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-04-21 |
1699207357 | Ian Jones | Surgery | 9040 Fitzsimmons Dr, Tacoma, Wa 98431, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-03-31 |
1295275428 | Torbjorg Holtestaul | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-03-07 |
1679010896 | Jamielou Cho | Surgery | 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-01-25 |
1932569282 | Daniel Lammers | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2016-02-29 |
1669866844 | Rowan Sheldon | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-25 |
1902290596 | Woo Song Do | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-23 |
1750773503 | Jessica Weiss | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2015-03-02 |
1215328976 | Michael Minh Vu | Surgery | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-2909 | 2015-02-16 |
Find all providers in JOINT BASE LEWIS MCCHORD |
City | JOINT BASE LEWIS MCCHORD |
Zip Code | 98431 |
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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.