UNITED STATES AIR FORCE (NPI# 1720071608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720071608 |
| Entity Type | Organization |
| Organization Name | UNITED STATES AIR FORCE |
| Practice Address |
7219 N Litchfield Rd Luke Afb AZ 85309-1529 |
| Mailing Address |
2407 N 127th Ln Avondale AZ 85323-6576 |
| Practice Telephone | 6238569725 |
| Practice Fax Number | 6238567567 |
| Mailing Telephone | 6235364774 |
| Mailing Fax Number | 6238567567 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. PATTI JO PETERSON-BALLIET (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 6265364774 |
| Authorized Official Credential | CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | RN114749 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NURSING LICENSE | RN114749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437505369 | United States Air Force | Military Hospital | 1061 Adams St, New Castle, PA 16101-4301 | 2016-05-10 |
| 1710384292 | United States Air Force | Military Hospital | 49th Medical Bldg 17, Holloman Afb, NM 88330 | 2014-11-26 |
| 1184921975 | United States Air Force | Military Hospital | 15 Highland St Apt 102, West Hartford, CT 06119-1300 | 2011-02-14 |
| 1275843732 | United States Air Force | Military Hospital | 11075 Santa Monica Blvd Ste 300, Los Angeles, CA 90025-7540 | 2010-10-18 |
| 1396972238 | United States Air Force | Military Hospital | Psc 3 Box 692, Apo, AP 96266 | 2009-06-18 |
| 1912133786 | United States Air Force | Military Hospital | 4810 Coyote Run, Abilene, TX 79602-8185 | 2009-06-06 |
| 1891930244 | United States Air Force | Military Hospital | 6501 Vegas Dr Apt 1034, Las Vegas, NV 89108-7773 | 2008-12-12 |
| 1548713084 | United States Air Force | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2016-08-02 |
| 1407222748 | United States Air Force | Dentist | 101 Bodin Cir, Fairfield, CA 94535-1809 | 2015-08-20 |
| 1326423724 | United States Air Force | Clinic/Center | 2501 Capehart Rd, Offutt Afb, NE 68113-1043 | 2015-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | UNITED STATES AIR FORCE ACADEMY PARENTS ASSOCIATION OF WASHINGTON STATE | 700 6th Ave Nw, Issaquah, WA 98027-2830 |
| Colorado Business Entities | United States Air Force ROTC Detachment 105 Thunderchiefs | 371 Ucb, Air Force Rotc Det 105, Boulder, CO 80309 |
| Street Address |
7219 N LITCHFIELD RD |
| City | LUKE AFB |
| State | AZ |
| Zip Code | 85309-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281203 | Scott Joseph Lafont | Dentist | 7219 N Litchfield Rd, Dental Clinic, Luke Afb, AZ 85309-1529 | 2005-08-09 |
| 1184262347 | Denise Renee Covert | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2019-12-18 |
| 1790279685 | Tyler John Gale | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2018-06-14 |
| 1679091706 | Patrick Andrew Stockton | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-09-09 |
| 1417483074 | Matthew Collins | Military Health Care Provider | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-05-02 |
| 1235672114 | Noah Russell | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-11-28 |
| 1811340565 | Collin Urbanowicz | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-07-18 |
| 1972986909 | Kristin Haskell | Advanced Practice Midwife | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2015-07-08 |
| 1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
| 1760820989 | Bryan Geoffrey Anderson | General Practice | 7219 N Litchfield Rd, 56 Amds (bldg 810), Luke Afb, AZ 85309-1529 | 2013-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
| 1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
| 1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
| 1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
| 1679676571 | Anita Glenn-reller | Counselor | 317 Lightning Ave, Luke Afb, AZ 85309 | 2006-09-06 |
| 1346784881 | Kaleigh Moses | Registered Nurse | 13960 W Eagle St, Luke Air Force Base, AZ 85309-1426 | 2016-12-16 |
| 1376893511 | Melissa Ann Parra | Dentist | 7219 N Litchfield Rd., 56th Medical Group, Luke Afb, AZ 85309-1525 | 2012-09-14 |
| Find all providers in zip 85309 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222067 | Carl T. Hayden Va | Military Hospital | 2322 N 46th St, Phoenix, AZ 85008-2435 | 2016-09-02 |
| 1134512866 | Bonnie Susannah Mackey | Military Hospital | 18018 N 45th Pl, Phoenix, AZ 85032-1521 | 2015-03-05 |
| 1962740662 | Department of Veterans Affairs | Military Hospital | 437 E Mohave Rd, Tucson, AZ 85705-3627 | 2013-01-30 |
| 1841538071 | Phoenix Va Healthcare System | Military Hospital | 232 S 12th Ave, Phoenix, AZ 85007-3101 | 2013-01-23 |
| 1336429174 | James Neal Hecker | Military Hospital | 10007 E Arrowvale Dr, Sun Lakes, AZ 85248-6111 | 2011-08-24 |
| 1417250671 | Phoenix Va Healthcare Systems | Military Hospital | 9258 E 27th St, Tucson, AZ 85710-7405 | 2010-12-09 |
| 1033358239 | Department of Veterans Affairs | Military Hospital | 5782 W Cortaro Crossing Dr, Tucson, AZ 85742-8128 | 2009-02-11 |
| 1619160165 | Patrick Dennis Murphy IIi | Military Hospital | 2917 E Covina St, Mesa, AZ 85213-7824 | 2007-08-18 |
| 1417496811 | Phoenix Va Healthcare System | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2017-02-17 |
| 1255881330 | Phoenix Dva | Military Hospital | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2016-10-12 |
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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.