DR. CHRISTOPHER L FILLMORE (NPI# 1629296371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629296371 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER L FILLMORE |
Credential | MD |
Practice Address |
105 Grant Cir Suite 133 Offutt A F B NE 68113-4041 |
Practice Telephone | 4022947346 |
Mailing Telephone | 4022947346 |
Enumeration Date | 2007-04-20 |
Last Update Date | 2007-10-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
24332 | NE | Allopathic & Osteopathic Physicians |
Street Address |
105 GRANT CIR SUITE 133 |
City | OFFUTT A F B |
State | NE |
Zip Code | 68113-4041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255561973 | Karolyn A Harris | Military Health Care Provider | 105 Grant Cir, Ste 133, Offutt A F B, NE 68113-2087 | 2009-07-15 |
1669608774 | Charles Curtis Ruggles | Military Health Care Provider | 105 Grant Cir, Bldg 527, Suite 133, Offutt A F B, NE 68113-4041 | 2009-06-03 |
1508091505 | Jan Fink | Military Health Care Provider | 105 Grant Cir, Bldg 527 Suite 133, Offutt A F B, NE 68113-4041 | 2009-05-19 |
1942434352 | Richelle Leigh Moen | Military Health Care Provider | 105 Grant Cir, Suite 133, Offutt A F B, NE 68113-4041 | 2009-05-13 |
1659514057 | Joey Depositar Torres | Military Health Care Provider | 105 Grant Cir, Building 527, Suite 133, Offutt A F B, NE 68113-4041 | 2009-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386133668 | Peter Mitchell Martin | Family Medicine | Offutt Afb Family Medicine Residency, 2501 Capehart Rd., Offutt Afb, NE 68113 | 2018-05-02 |
1619212792 | Tyrone Antonio Simon | Social Worker | 2501 Capehart Rd Bldg 4000, Offutt Afb, NE 68113 | 2012-11-30 |
1245536994 | Aaron Bradley Smith | Military Health Care Provider | Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 | 2011-01-28 |
1962719294 | Amy Elaine Klein | Optometrist | 106 Meyer Ave, Bldg 166, Offutt Afb, NE 68113 | 2010-09-08 |
1720248974 | Americas Best Contacts & Eyeglasses | Technician/Technologist | Bldg 166 Offutt Afb Exchange, Offutt Afb, NE 68113 | 2008-06-11 |
1548343296 | Jack David Wright | Pharmacist | 2501 Capehart, Erhling Bergquist Hospital, Offutt Afb, NE 68113 | 2006-10-23 |
1215023890 | Mark James Angerbauer | Dentist | 2501 Capehart Rd., Omaha, NE 68113 | 2006-10-04 |
1003915430 | 55th Medical Group Sgsl | Pharmacy | Bldg 107 Rm 101, Offutt, NE 68113 | 2006-09-22 |
1407804800 | Valerie June Malloy | Family Medicine | Offutt Afb, Erhling Berquist Clinic, Belluvue, NE 68113 | 2006-05-05 |
1174016661 | Logan Wheeler | Dentist | 2501 Capehart Rd, Offutt Afb, NE 68113 | 2018-06-11 |
Find all providers in zip 68113 |
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 |
---|---|---|---|---|
1962816009 | Brent Passey | Preventive Medicine | 2501 Capehart Road, Offut Afb, NE 68113-2160 | 2014-06-17 |
1801876230 | Crescencio Torres | Preventive Medicine | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2006-01-20 |
City | OFFUTT A F B |
Zip Code | 68113 |
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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.