7TH MEDICAL GROUP (NPI# 1477523330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477523330 |
| Entity Type | Organization |
| Organization Name | 7TH MEDICAL GROUP |
| Other Organization Name | DYESS AFB MTF |
| Practice Address |
697 Louisiana Dr Suite 1c5 Dyess Afb TX 79607-1367 |
| Practice Telephone | 3256964712 |
| Mailing Telephone | 3256964712 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-03-03 |
| Authorized Official Name | THERESA MARIE MITCHELL (AIR FORCE UBO ANALYST) |
| Authorized Official Telephone | 7036817613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers | ||
| N | 261QM1101X |
Clinic/Center Specialization: Military and U.S. Coast Guard Ambulatory Procedure |
Ambulatory Health Care Facilities | ||
| Y | 261QM1100X |
Clinic/Center Specialization: Military/U.S. Coast Guard Outpatient |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | NCPDP | 4511413 | 01 |
| Other Name | Type Code |
|---|---|
| Dyess AFB MTF | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710396031 | 7th Medical Group | Military/U.S. Coast Guard Pharmacy | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2014-08-12 |
| Street Address |
697 LOUISIANA DR SUITE 1C5 |
| City | DYESS AFB |
| State | TX |
| Zip Code | 79607-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194107664 | Kathryn Frances Hernandez | Physician Assistant | 697 Louisiana Dr, 7th Medical Group, Dyess Afb, TX 79606 | 2015-06-22 |
| 1164657250 | Daniel Openshaw | Military Health Care Provider | 697 Louisiana Dr, Dyess Afb, TX 79607-1367 | 2009-05-19 |
| 1326197849 | Kimberly Campbell Villajuana | Pharmacist | 697 Louisiana Dr, Dyess Afb, TX 79607 | 2007-01-10 |
| 1437172954 | Lori Anne Adams | Nurse Practitioner | 697 Louisiana Dr, Dyess Afb, TX 79607 | 2006-07-25 |
| 1518934652 | Randall G Griffin | Dentist | 697 Louisiana Dr, 7 Ados/sggd, Dyess Afb, TX 79607 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255636 | David Goodwin | Technician | 9201 Louisiana Dr, Dyess, TX 79607 | 2019-06-24 |
| 1952811572 | Whitney Howard | Pharmacist | 7 Mdg, 697 Louisiana Dr, Dyess Afb, TX 79607 | 2017-10-10 |
| 1114150455 | Sara Mccoskey | Military Health Care Provider | 697 Lousiann Dr, Dyess Afb Texas, Abilene, TX 79607 | 2009-09-03 |
| 1942246095 | Philip Ralph Barone | Dentist | 7 Amds/sgpd, Dyess Afb, Abilene, TX 79607 | 2006-06-20 |
| 1861452096 | Evelyn L Stender | Psychiatry & Neurology | 697 Hosp Rd, 7mdos/sgomh, Dyess Afb, TX 79607 | 2006-03-23 |
| 1508833021 | Alicia W Edwards | Social Worker | 697 Lousianna Dr, Dyess Afb, TX 79607 | 2006-03-02 |
| 1538133947 | Sandra Sue Rogers | Nurse Practitioner | 796 Louisiana Ave, Dyess Afb, TX 79607 | 2006-02-14 |
| 1346762796 | Samantha Elizabeth Morales | Social Worker | 697 Louisiana Rd, Abilene, TX 79607 | 2017-07-07 |
| 1457715369 | Jason Kelley | Social Worker | 697 Lousiana Drive, Dyess Afb, TX 79607 | 2016-04-06 |
| 1649519703 | William Mikizo Uechi | Physical Therapist | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2013-02-10 |
| Find all providers in zip 79607 | ||||
| Taxonomy Code | 261QM1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Military/U.S. Coast Guard Outpatient |
| The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: title modified, definition added; 7/1/2006 title modified, definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527177 | William Beaumont Army Medical Center | Clinic/Center | 11291 Sgt E Churchill St, Fort Bliss, TX 79918-8001 | 2018-08-13 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1568948933 | Carl R Darnall Army Medical Center | Clinic/Center | 415 31st and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1740766112 | Carl R Darnall Army Medical Center | Clinic/Center | Bldg 2255 52nd and 761st Tank Battalion, Fort Hood, TX 76544 | 2018-07-18 |
| 1396119681 | Brooke Army Medical Center | Clinic/Center | 2407 N New Braunfels, Bldg 147, Ft Sam Houston, TX 78234 | 2015-11-24 |
| 1932595204 | Carl R Darnall Army Medical Center | Clinic/Center | 9410 19th St, Fort Hood, TX 76544 | 2015-04-13 |
| 1154717650 | Carl R Darnall Army Medical Center | Clinic/Center | 31002 74th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1073909578 | Carl R Darnall Army Medical Center | Clinic/Center | 37016 77th Street, Fort Hood, TX 76544 | 2015-04-10 |
| 1972999472 | Carl R Darnall Army Medical Center | Clinic/Center | 24001 Battalion Ave, 58th and 62nd Streets, Fort Hood, TX 76544 | 2015-04-10 |
| 1619365285 | Brooke Army Medical Center | Clinic/Center | 10010 Rogers Run, Suite 100, San Antonio, TX 78251-4403 | 2015-01-05 |
| Find all providers with the same taxonomy | ||||
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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.