DR. IAN CHRISTOPHER SANFORD (NPI# 1861994766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861994766 |
| Entity Type | Individual |
| Full Name | DR. IAN CHRISTOPHER SANFORD |
| Credential | DO |
| Practice Address |
697 Louisiana Rd Dyess Afb TX 79607-1141 |
| Mailing Address |
1100 Wilford Hall Loop, Bldg. 4554 Jbsa Lackland TX 78236-9908 |
| Practice Telephone | 8034930038 |
| Mailing Telephone | 2109165545 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2019-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 2099 | NE | Other Service Providers |
| Street Address |
697 LOUISIANA RD |
| City | DYESS AFB |
| State | TX |
| Zip Code | 79607-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295041 | Mark Adam Summers | Preventive Medicine | 697 Louisiana Rd, 7th Mdg, Dyess Afb, TX 79607-1141 | 2005-12-13 |
| 1548810013 | Alexander Jeffrey Lawson | Military Health Care Provider | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-09-17 |
| 1467017905 | Joshua Lee Helmstadter | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-09 |
| 1477118321 | Jordan Walsh | Social Worker | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-05-07 |
| 1104387299 | Rob Henry | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2019-03-29 |
| 1790261436 | William Deleon Lawson | Physician Assistant | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-07-16 |
| 1528562709 | Dougls M Young | Preventive Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2018-03-21 |
| 1669987053 | Nikole Sprunger | Dietitian, Registered | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-12-06 |
| 1548780984 | Vinh Nguy | Family Medicine | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-27 |
| 1396275087 | Kyle Sansom | Dentist | 697 Louisiana Rd, Dyess Afb, TX 79607-1141 | 2017-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881255636 | David Goodwin | Technician | 9201 Louisiana Dr, Dyess, TX 79607 | 2019-06-24 |
| 1952811572 | Whitney Howard | Pharmacist | 7 Mdg, 697 Louisiana Dr, Dyess Afb, TX 79607 | 2017-10-10 |
| 1114150455 | Sara Mccoskey | Military Health Care Provider | 697 Lousiann Dr, Dyess Afb Texas, Abilene, TX 79607 | 2009-09-03 |
| 1942246095 | Philip Ralph Barone | Dentist | 7 Amds/sgpd, Dyess Afb, Abilene, TX 79607 | 2006-06-20 |
| 1861452096 | Evelyn L Stender | Psychiatry & Neurology | 697 Hosp Rd, 7mdos/sgomh, Dyess Afb, TX 79607 | 2006-03-23 |
| 1508833021 | Alicia W Edwards | Social Worker | 697 Lousianna Dr, Dyess Afb, TX 79607 | 2006-03-02 |
| 1538133947 | Sandra Sue Rogers | Nurse Practitioner | 796 Louisiana Ave, Dyess Afb, TX 79607 | 2006-02-14 |
| 1457715369 | Jason Kelley | Social Worker | 697 Lousiana Drive, Dyess Afb, TX 79607 | 2016-04-06 |
| 1649519703 | William Mikizo Uechi | Physical Therapist | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2013-02-10 |
| 1346577996 | Misti M Cox | Nurse Practitioner | 697 Louisiana Drive, Dyess Afb, TX 79607 | 2009-11-03 |
| Find all providers in zip 79607 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805454 | Tri Huynh Minh Nguyen | Military Health Care Provider | 7826 Enchanted Cliff Dr, El Paso, TX 79911-7508 | 2020-09-10 |
| 1700355237 | William Christopher Petty | Military Health Care Provider | 21227 Torch Street, Biggs Field, TX 79918 | 2018-11-14 |
| 1346629094 | Grada Berry | Military Health Care Provider | 2520 Heather Brook Ln Apt 804, Arlington, TX 76006-5177 | 2015-05-28 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1639518616 | Treble Clef Technologies | Military Health Care Provider | 3233 Tomahawk St, El Paso, TX 79936-2315 | 2013-06-23 |
| 1679837355 | Jeffrey Hoffmann | Military Health Care Provider | 1640 N Zaragoza Rd, Apt 118, El Paso, TX 79936-8004 | 2012-06-27 |
| 1194022566 | William Resto-rivera | Military Health Care Provider | J Street Bldg 3000, Federal Medical Center Carswell, Fort Worth, TX 76127-0066 | 2011-02-22 |
| 1437456373 | Jennifer Leigh Noblin | Military Health Care Provider | Sheppard Afb Mental Health Clinic, 149 Hart St. Bldg 1200, Wichita Falls, TX 76311 | 2011-02-11 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1215190004 | Joni Patricia Gumban | Military Health Care Provider | 409 Greene St, Webster, TX 77598-6701 | 2008-07-02 |
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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.