PHILIP CUSHMAN III (NPI# 1538548714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538548714 |
| Entity Type | Individual |
| Full Name | PHILIP CUSHMAN III |
| Credential | DO |
| Practice Address |
1599 J St Grand Forks Afb ND 58205-6306 |
| Practice Telephone | 7017475504 |
| Practice Fax Number | 7017475504 |
| Mailing Telephone | 7017475504 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2018-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
5101021993 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831130848 | Philip Morse Cushman | Psychologist | 2100 Napa Vallejo Hwy, Napa, CA 94558-6293 | 2006-06-09 |
| Street Address |
1599 J ST |
| City | GRAND FORKS AFB |
| State | ND |
| Zip Code | 58205-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801882980 | Heather A Ray | Pharmacist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2005-09-23 |
| 1841837309 | Spencer Allen Wallace | Pharmacist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2019-12-04 |
| 1952868606 | Amanda Ammentorp | Preventive Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2019-02-28 |
| 1982181749 | Laine Maren Gordon | Social Worker | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2018-07-25 |
| 1104323468 | Luke Joseph Delain | Military Health Care Provider | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2018-04-12 |
| 1447791694 | Romi Abouzedan | Physical Therapist | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2017-03-20 |
| 1134579030 | Lindsay Snow | Family Medicine | 1599 J St, Grand Forks Afb, ND 58205 | 2016-06-21 |
| 1871948141 | Eric Engstrom | Pediatrics | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2016-04-25 |
| 1891157061 | Timothy Reid | Family Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2016-03-25 |
| 1609246198 | Linda M Dunnigan | Registered Nurse | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982144887 | Abigail Jane Williams | Pharmacy Technician | Grand Forks Air Force Base, Grand Forks, ND 58205 | 2017-02-27 |
| 1275972051 | Joshua James Obholz | Student in an Organized Health Care Education/Training Program | 1599 J Street Building 109, Grand Forks Afb, ND 58205 | 2013-06-14 |
| 1740541218 | Katie Frushour | Dietitian, Registered | 449 Tuskegee Airman Boulevard, Building 308, Grand Forks, ND 58205 | 2012-05-31 |
| 1699741272 | Howard R Givens | Family Medicine | 319 Mdg, 1599 J Street, Grand Forks Afb, ND 58205 | 2006-02-24 |
| 1942271747 | Malaysia Helene Gresham | Social Worker | 319th Medical Group, 1599 J Street, Grand Forks, ND 58205 | 2006-01-30 |
| 1538150537 | Benjamin Scott Fenger | Dentist | 319 Aeromedical-dental Squadron/sggd, 1599 J St. Bldg. 109a, Grand Forks Afb, ND 58205 | 2005-10-31 |
| 1275926172 | Aleksandra Wantke | Psychologist | 319th Medical Group, 1599 J Street, Grand Forks Afb, ND 58205 | 2015-03-17 |
| 1023390473 | Jon Federspiel | Dentist | 319th Medical Group, 1599 J Street, Grand Forks, ND 58205 | 2011-09-12 |
| 1366541682 | 319th Medical Group | Military/U.S. Coast Guard Pharmacy | 1599 J St Bldg 109, C/o 3rd Party Collections, Grand Forks Afb, ND 58205-6306 | 2006-09-22 |
| 1144218504 | Jennifer Anne Hasslen | Dentist | 1599 J St Bldg 109a, Grand Forks Afb, ND 58205-6306 | 2005-10-11 |
| Find all providers in zip 58205 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811375520 | Farid Malof | Preventive Medicine | 1599 J St Rm 1013, Grand Forks Afb, ND 58205-6332 | 2015-05-13 |
| 1952868606 | Amanda Ammentorp | Preventive Medicine | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2019-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770686628 | Warren C Jensen | Preventive Medicine | Mccannel Hall, Room 100, 2891 2nd Avenue N., Stop 9038, Grand Forks, ND 58202-9038 | 2006-09-06 |
| 1114072303 | Gary Glenn Reams | Preventive Medicine | 1015 4th Ave S, Wishek, ND 58495-0617 | 2007-01-25 |
| City | GRAND FORKS AFB |
| Zip Code | 58205 |
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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.