MICHAEL OTHELLO MATHIS JR. (NPI# 1659612927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659612927 |
| Entity Type | Individual |
| Full Name | MICHAEL OTHELLO MATHIS JR. |
| Credential | SURFACE FORCE IDC |
| Practice Address |
Uss Truxtun Ddg 103 Fpo AE 09588-1309 |
| Practice Telephone | 7574456164 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2013-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2865X1600X |
Military Hospital Specialization: Military General Acute Care Hospital. Operational (Transportable) |
CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053617704 | Michael W Mathis | Physical Therapist | 7997 Meadow Dr, Mechanicsville, VA 23111-3622 | 2011-01-27 |
| 1396847356 | Michael Burgin Mathis | Dentist | 3000 Bardstown Rd, Louisville, KY 40205-3009 | 2006-09-01 |
| 1881118495 | Michael Mathis | Behavioral Analyst | 1288 Miller Ave, Las Vegas, NV 89106-2210 | 2017-07-26 |
| 1629396536 | Michael R Mathis | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2010-05-17 |
| Street Address |
USS TRUXTUN DDG 103 |
| City | FPO |
| State | AE |
| Zip Code | 09588-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1710406806 | Vincent Frank Scalabrino Jr. | Emergency Medical Technician, Paramedic | Uss Thunderbolt, Fpo, AE 09588 | 2017-09-11 |
| 1265968424 | Alec Carlson | Military Health Care Provider | Uss Typhoon, Unit 100286 Box 1, Fpo, AE 09588 | 2017-05-10 |
| 1235590464 | Kelvin Murphy II | Military Health Care Provider | Uss Truxton, Unit 100332 Box 1, Fpo, AE 09588-1309 | 2016-03-16 |
| 1740502590 | Tony Ward | Military Health Care Provider | Uss Truxtun Ddg-103, Fpo, AE 09588-1360 | 2010-02-22 |
| 1023546454 | Aaron Bevan | Military Health Care Provider | Unit 100285 Box 1, Manama, BAHRAIN 09588-1904 | 2017-05-30 |
| 1215186861 | Jeremy Richard Schlotterer | Military Health Care Provider | Uss Typhoon PC-5, Fpo, AE 09588-1964 | 2008-09-18 |
| 1548583347 | Ryan Walter Dilks | Military Health Care Provider | Commanding Officer Attn: Mdr, Uss Tennessee (ssbn 734)(blue), Fpo, AE 09588-2117 | 2010-03-08 |
| 1073750972 | David Bakos | Military Health Care Provider | Uss Texas (ssn 775), Fpo, AE 09588-2304 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899853 | London Mingo | Social Worker | 2769 Yaka Kin Cho, Fpo, AP 96388-0071 | 2020-10-21 |
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
| 1225643307 | Brice Blahnik | Dentist | 1 St Dental Battalion/naval Dental Center Attn: Medical, Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221, Fpo, AA 92055-5221 | 2020-09-15 |
| 1609489061 | Genesis Health Care Inc | Home Health | Uss Wasp Lhd1 Unit 100261, Fpo, AE 09514 | 2020-08-26 |
| 1669081857 | Acacia L Elmer | Registered Nurse | Psc 808 Box 3104, Fpo, AE 09618-0032 | 2020-07-24 |
| 1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
| 1518581776 | Taylor D Benson | Audiologist | Building 960, Floor 3, East Wing, Fpo, AP 96362-0017 | 2020-06-03 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1295360055 | Kiran Kumar Gurung | Dental Hygienist | Uss Bataan (lhd-5), Fpo, AE 09554-1657 | 2020-03-11 |
| Find all providers in FPO | ||||
| Taxonomy Code | 2865X1600X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital. Operational (Transportable) |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "non-fixed" or deployed facilities. Entity is not Defense Health Program funded. Services are primarily intended for DoD active duty though some services may be furnished for non-DoD active duty. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include hospital ships. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447407218 | Lyster Army Health Clinic | Military Hospital | Building 301, Andrews Ave, Lyster Army Health Clinic, Fpo, AE 36362-5333 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523738 | Landstuhl Regional Medical Center | Military Hospital | Cmr 402, Box 1575, Apo, AE 09180 | 2006-01-20 |
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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.