MRS. VANESSA EVA RAGUKONIS (NPI# 1689086316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689086316 |
| Entity Type | Individual |
| Full Name | MRS. VANESSA EVA RAGUKONIS |
| Other Name | MISS VANESSA EVA STETSON RODRIGUEZ |
| Credential | D.O. |
| Practice Address |
1061 Harmon Ave. Fort Stewart GA 31314-5641 |
| Practice Telephone | 9124356965 |
| Mailing Telephone | 9124356965 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DOSR1726 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
1061 HARMON AVE. |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31314-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962694455 | Jenifer Lynn Kallio | Social Worker | 1061 Harmon Ave., Ste. 1003 Winn Army Community Hospital, Fort Stewart, GA 31314-5611 | 2007-08-17 |
| 1124055140 | Dwight K Brown | Physician Assistant | 1061 Harmon Ave., Winn Army Community Hospital Ste 1d03, Fort Stewart, GA 31314-5674 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
| 1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
| 1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
| 1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
| 1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
| 1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
| 1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
| Find all providers in zip 31314 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255712006 | Robert Lawrence IIi | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-06-17 |
| 1760863237 | Katie Lynn Beauregard | General Practice | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2015-06-10 |
| 1558753632 | Dallin Mitchell | General Practice | 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314-5641 | 2015-02-25 |
| 1659786523 | Timothy Heilmann | General Practice | 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314-5641 | 2014-06-30 |
| 1639582620 | Dane Douglas Dicaro | General Practice | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5641 | 2014-06-06 |
| 1578901047 | David Cowart | General Practice | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2013-06-06 |
| 1033553367 | Brittany Brooks | General Practice | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2013-04-17 |
| 1023371366 | Jordan T Ochsner | General Practice | 1061 Harmon Ave Ste 1d03, Winn Army Community Hospital, Fort Stewart, GA 31314-5641 | 2012-06-21 |
| 1154617629 | Marc F Wuerdeman | General Practice | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2011-06-23 |
| 1770878878 | Corey M Cronrath | General Practice | 1061 Harmon Ave, Fort Stewart, GA 31314-5674 | 2011-06-16 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31314 |
Please comment or provide details below to improve the information on MRS. VANESSA EVA RAGUKONIS.
| 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.