B. GORDON CARNES (NPI# 1811943970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811943970 |
| Entity Type | Individual |
| Full Name | B. GORDON CARNES |
| Credential | M.D. |
| Practice Address |
Bld 301 Andrews Ave Fort Rucker AL 36362-5333 |
| Practice Telephone | 3342557363 |
| Practice Fax Number | 3342557368 |
| Mailing Telephone | 3342557363 |
| Mailing Fax Number | 3342557368 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 28806 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64255557 | 05 |
| Street Address |
BLD 301 ANDREWS AVE |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538539507 | Johnnie Moore | Licensed Practical Nurse | Bld 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2015-10-02 |
| 1801033162 | Antoinette Lashae Dingle | Technician | Bld 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2009-01-08 |
| 1033381975 | Robert G Carter | Emergency Medical Technician, Paramedic | Bld 301 Andrews Ave, Fort Rucker, AL 36362 | 2008-04-01 |
| 1912185711 | Brian Lee Patrick | Technician, Other | Bld 301 Andrews Ave, Usaamc, Fort Rucker, AL 36362 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699930891 | Justin Lamar Wilkie | Family Medicine | Andrews Ave Building 301, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2008-07-28 |
| 1649228560 | Mark Kenneth Mcpherson | Family Medicine | 5700 Novosell, Usaama Rm220, Fort Rucker, AL 36330-5901 | 2006-05-04 |
| 1861653768 | Katie Grubbs Price | Family Medicine | 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2008-06-23 |
| 1225218423 | Norberto A Rodriguez Jr. | Family Medicine | 301 Andrews Avenue, Fort Rucker, AL 36362 | 2007-11-06 |
| 1598964298 | Jennifer Signe Marsden | Family Medicine | 301 Andrews Avenue, Va Wiregrass, Fort Rucker, AL 36362 | 2007-07-12 |
| 1962543892 | Jonathan Craig Taylor | Family Medicine | 301 Andrews Ave, Lyster Health Clinic, Fort Rucker, AL 36363-5333 | 2007-02-12 |
| 1184721474 | Kevin Allan Horde | Family Medicine | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2006-09-20 |
| 1023077724 | Kevin Leone Cummings | Family Medicine | 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2006-03-21 |
| 1871573972 | James Lloyd Persson | Family Medicine | 301 Andrews Ave, Fort Rucker, AL 36362 | 2006-01-17 |
| 1851372379 | Nicole Claudine Powell-dunford | Family Medicine | 301 Andrews Avenue, Usasam, Fort Rucker, AL 36362 | 2005-11-10 |
| Find all providers in FORT RUCKER | ||||
| City | FORT RUCKER |
| Zip Code | 36362 |
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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.