CALLIE CHEATHAM (NPI# 1851957369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851957369 |
| Entity Type | Individual |
| Full Name | CALLIE CHEATHAM |
| Credential | MD |
| Practice Address |
81 Mdss/gme 301 Fisher Street Keesler Afb MS 39534 |
| Mailing Address |
81 Mdss/gme 301 Fisher Street, Room 1g123 Keesler Afb MS 39534 |
| Practice Telephone | 9798241333 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
81 MDSS/GME 301 FISHER STREET |
| City | KEESLER AFB |
| State | MS |
| Zip Code | 39534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770907578 | Rafael Alejo Sancillo | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2014-02-13 |
| 1114584778 | Brycen Wilson | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher Street Rm 1g123, Keesler Afb, MS 39534 | 2019-05-20 |
| 1164087631 | Jared Lee Vinson | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher St, Rm1g123, Keesler Afb, MS 39534 | 2019-05-09 |
| 1659833358 | Brandon Cope | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2019-04-02 |
| 1578029138 | Ryan Young Rhie | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427016 | Krista Marie Shaw | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 5a12781, Keesler Afb, MS 39534-2508 | 2020-04-29 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1811300106 | Cassandra Craig | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 1f325, Keesler Afb, MS 39534-2508 | 2014-06-04 |
| 1770907578 | Rafael Alejo Sancillo | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme, 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2014-02-13 |
| 1184246142 | Aaron Daniel Fleetwood | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2020-05-13 |
| 1386265544 | Stephanie Howes | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2020-04-29 |
| 1710514294 | Devin Bell | Student in an Organized Health Care Education/Training Program | 301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508 | 2020-03-25 |
| Find all providers in KEESLER AFB | ||||
| City | KEESLER AFB |
| Zip Code | 39534 |
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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.