DEPARTMENT OF DEFENCE (NPI# 1609269307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609269307 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF DEFENCE |
| Practice Address |
4500 Stuart St Columbia SC 29207-5700 |
| Mailing Address |
2000 N Beltline Blvd Apt 313 Columbia SC 29204-3942 |
| Practice Telephone | 8037512160 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Authorized Official Name | MRS. JEAN M BARIDO (DEPUTY COMMANDER FOR NURSING) |
| Authorized Official Telephone | 8037512119 |
| Authorized Official Credential | COL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | F337835-1 | NY | Hospitals |
| Street Address |
4500 STUART ST |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29207-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505231 | Christopher Michael Enke | Occupational Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-10-09 |
| 1366071144 | Kaitlin Chrastek | Specialist/Technologist | 4500 Stuart St, Columbia, SC 29207-5700 | 2020-04-03 |
| 1316582455 | Melissa Angela Metivier | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-11-13 |
| 1952954695 | Jeriann Sandrik | Optometrist | 4500 Stuart St, Columbia, SC 29207 | 2019-07-22 |
| 1669946455 | Tonya Yvette Parks | Counselor | 4500 Stuart St, Columbia, SC 29207-5700 | 2019-01-15 |
| 1538653795 | Jennifer L Willard | Licensed Practical Nurse | 4500 Stuart St, Columbia, SC 29207-5700 | 2018-06-20 |
| 1114469475 | Carrie Elizabeth Green | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-11-17 |
| 1841640489 | Daniel Greathouse | Optometrist | 4500 Stuart St, 3rd Floor Clinic Wing, Columbia, SC 29207-5700 | 2016-06-14 |
| 1356796205 | Rajesh Devkota | Nurse Practitioner | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-04-28 |
| 1114385770 | Garry Dredge | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760680854 | Dorn Vamc | Military Hospital | 9 Wiltshire Ct, Columbia, SC 29229-8762 | 2007-07-10 |
| 1114391802 | Moncrief Army Hospital | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2015-11-19 |
| 1104094374 | Moncrief Army Community Hospital | Military Hospital | 4500 Stuart St, Columbia, SC 29207-5700 | 2008-02-11 |
| 1336348911 | Dorn Vamc | Military Hospital | 6439 Garners Ferry Rd, Columbia, SC 29209-1638 | 2007-07-13 |
| 1053420307 | Tiffany P Walker | Military Hospital | 6439 Garners Ferry Road, Columbia, SC 29209-1639 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205010337 | Francis Spinale | Military Hospital | 114 Doughty St, Rm 625, Charleston, SC 29403-5729 | 2007-12-26 |
| 1912192402 | Ralph H. Johnson Va Medical Center | Military Hospital | 91 Bogard St, Charleston, SC 29403-5230 | 2007-09-08 |
| 1649290347 | Stephen Perlstein | Military Hospital | 3510 Augusta Rd, Greenville, SC 29605-1302 | 2006-07-19 |
| 1528517711 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St., Charleston, SC 29401 | 2016-09-28 |
| 1104202662 | Us Navy | Military Hospital | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2015-08-07 |
| 1134517329 | Ralph H. Johnson Veterans Affairs Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2014-12-23 |
| 1336574797 | Ralph H Johnson Vamc | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-09-04 |
| 1750722641 | George Francis Hudson | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2013-07-09 |
| 1104140425 | Ralph Johnson Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2010-03-15 |
| 1558514729 | Ralph H. Johnson Va Medical Center | Military Hospital | 109 Bee St, Charleston, SC 29401-5703 | 2008-10-31 |
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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.