DR. COLLEEN TAMARA HIEBENTHAL (NPI# 1538396064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538396064 |
Entity Type | Individual |
Full Name | DR. COLLEEN TAMARA HIEBENTHAL |
Credential | M.D. |
Practice Address |
Uss Comstock Lsd 45 Fpo AP 96662-1733 |
Mailing Address |
530 K St #203 San Diego CA 92101-7058 |
Practice Telephone | 6195563845 |
Mailing Telephone | 5042376546 |
Enumeration Date | 2009-06-11 |
Last Update Date | 2010-08-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01068513A | IN | Allopathic & Osteopathic Physicians |
Street Address |
USS COMSTOCK LSD 45 |
City | FPO |
State | AP |
Zip Code | 96662-1733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295063907 | Michael Garrett Subee | Military Health Care Provider | Uss Chung-hoon (ddg 93), Unit 100203 Box 442, Fpo, AP 96662 | 2009-11-19 |
1912196411 | Michael Haydn Deaner | Military Health Care Provider | Uss Cowpens, Fpo, AP 96662 | 2007-10-20 |
1942839907 | Marcus Dupree Sanders | Military Health Care Provider | Uss Chafee, Unit Number 100199, Fpo, AP 96662 | 2020-04-02 |
1407151160 | Jason Crume | Military Health Care Provider | Uss Chancellorsville, Fpo, AP 96662-1182 | 2011-01-11 |
1750681854 | Leslie Ansag | Military Health Care Provider | Uss Chafee, Medical Department, Fpo, AP 96662-1305 | 2010-10-25 |
1225123557 | Robert Lee Boyd Jr. | Military Health Care Provider | Uss Chafee (ddg 90), Fpo, AP 96662-1305 | 2006-10-03 |
1063728582 | Daniel Charles Troy IIi | Military Health Care Provider | Uss Curts Ffg 38, Medical Department, Fpo, AP 96662-1493 | 2010-08-21 |
1780815472 | Larry Charles Gatrell Jr. | Military Health Care Provider | Uss City of Corpus Christi # 705, Fpo, AP 96662-2385 | 2009-07-29 |
1477769917 | Randy Ferrer Swanson | Military Health Care Provider | Uss Charlotte (ssn 766), Fpo, AP 96662-2422 | 2007-05-14 |
1063861763 | Andrew Joseph Holeman | Military Health Care Provider | Uss Cheyenne (ssn 773), Fpo, AP 96662-2429 | 2016-06-03 |
Find all providers in zip 96662 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992150692 | Caitlin Tallant | General Practice | Uss Arlington (lpd 24), Fpo, AE 09564-1706 | 2016-05-01 |
1306183058 | Andrew John Krispinsky | General Practice | Uss Gunston Hall, Unit 100259 Box 100, Fpo, AE 09573-1732 | 2013-01-14 |
1487929873 | Scott Gerald Story | General Practice | Navy Military Support Cmd: Attn: Medical Staff Services, Bldg H 2005 Knight Lane, Jacksonville, Fl, Fpo, AA 32212-0140 | 2012-03-19 |
1669743712 | Travis Obery Landry | General Practice | Psc 561 Box 316, Fpo, AP 96310-0004 | 2012-01-21 |
1366738494 | Nathan Robert Whitlow | General Practice | Uss Germantown (lsd 42), Fpo, AP 96666-1730 | 2011-06-27 |
1376854539 | Georgia Louise Marsh Mccrary | General Practice | Psc 810, Fpo, AE 09589 | 2010-06-23 |
1821225152 | Joseph Daniel Schwartz | General Practice | Electronic Attack Squadron One Three Two, Navy Hospital Oak Harbor, Fpo, AA 98221 | 2009-06-12 |
1083812820 | Patrick Mckenna | General Practice | Comdesron 14, Medical Department, Fpo, AA 34099-4716 | 2007-07-03 |
1992914584 | Terrence Martin Kilfoil | General Practice | Uss Harpers Ferry, Fpo, AP 96665 | 2007-05-21 |
1134247331 | Laura Michelle Lauer | General Practice | Psc 490 Box 7606, Naval Hospital Guam - Emergency Depatrment, Fpo, AP 96538-1600 | 2007-03-26 |
Find all providers in FPO |
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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.