US ARMY


Address: 42 Ne Pheasant Ln, Lawton, OK 73507-8850
Phone: 5805292142

US ARMY (NPI# 1881788834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881788834
Entity Type Organization
Organization Name US ARMY
Practice Address 42 Ne Pheasant Ln
Lawton
OK 73507-8850
Practice Telephone 5805292142
Mailing Telephone 5805292142
Enumeration Date 2006-10-03
Last Update Date 2020-08-22
Authorized Official Name DR. WANDA CARMEN JIRAU-ROSALY (FAMILY PHYSICIAN)
Authorized Official Telephone 5804582411
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider 01059043A IN Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407205065 Us Army Point of Service 1320 Truemper St Unit 369401, Jbsa Lackland Afb, Lackland Afb, TX 78236-6094 2016-06-05
1003209735 Us Army Emergency Medical Technician, Paramedic 1790 William H Wilson Ave, Fort Stewart, GA 31314-3100 2015-03-04
1861899536 Us Army Clinic/Center 8800 Main St, Apt 408c, Fort Drum, NY 13603-2159 2014-11-24
1487058780 Us Army Clinic/Center 703 E 9 Street, Fort Stewart, GA 31314 2014-10-15
1578904819 Us Army Clinic/Center Usahc Schweinfurt, Unit 25850 Box 7, Apo, AE 09033 2013-07-16
1003192428 Us Army Military Hospital 6582 Magarath Street, Fort Carson, CO 80913 2011-10-31
1003051210 Us Army Clinic/Center 5587 Lockridge Road, Fayetteville, NC 28311 2008-12-03
1649479700 Us Army General Acute Care Hospital 2695 E 131st Ave, Thornton, CO 80241-2046 2007-07-17
1114123726 Us Army Physician Assistant Hhs 6-37fa, 2id, Unit#15410 Apo Ap 96224, Tongduchon, KYUNGKIDO APO AP 96224 2007-06-22
1902914336 Us Army Military Hospital Cmr 415 Box 4364, Apo, AE 09114-4300 2006-08-27

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities US ARMY AEROMEDICAL RESEARCH LAB 6901 Farrel Rd, Fort Rucker, AL 36362
System for Award Management (SAM) Entities US ARMY CCDC SOLDIER CENTER 10 General Greene Ave, Natick, MA 01760-2612
System for Award Management (SAM) Entities US ARMY COMMUNITY/FAMILY SUPPORT CENTER 2455 Reynolds Rd, Fort Sam Houston, TX 78234-7588
System for Award Management (SAM) Entities US ARMY MEDICAL RESEARCH INSTITUTE OF CHEMICAL DEFENSE E2900 Ricketts Point Rd, Aberdeen Proving Ground, MD 21010

Office Location

Street Address 42 NE PHEASANT LN
City LAWTON
State OK
Zip Code 73507-8850

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720619935 Kori Wren Wiegmann Registered Nurse 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 2020-01-28
1013424027 Liane Jacobson Registered Nurse 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 2017-12-29
1649727041 Rachel Ayala Dietitian, Registered 2811 Nw Hilltop Dr, Lawton, OK 73507 2016-09-02
1811370471 William S, Davies, M.d., Inc. Psychiatric Residential Treatment Facility 1302 N, W, Lake Ave, Lawton, OK 73507 2015-07-01
1538554894 Ashlee A Haugen-lewis Behavioral Analyst 4121 W Gore, Lawton, OK 73507 2015-04-03
1003188970 Jenny Rae Mohon Registered Nurse 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 2012-02-07
1558548578 Dawn M Griffith Registered Nurse 1515 Lawrie Tatum Dr., Lawton, OK 73507 2008-01-22
1275605172 Judy Weiss Pharmacist 524 Lawrie Tatum Rd, Lawton, OK 73507 2006-11-15
1790895894 William Spalding Davies Psychiatry & Neurology 1302 Lake Ave, Lawton, OK 73507 2006-08-30
1275646374 Phillip Lynn Aday Dentist 1116 Nw Arlington, Lawton, OK 73507 2006-08-16
Find all providers in zip 73507

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225527476 Pau Khan Kap Military Health Care Provider 10123 S 72nd East Ave, Tulsa, OK 74133-6759 2018-05-03
1336556851 Chenghui Su Military Health Care Provider 463 N Harr Dr Apt F, Midwest City, OK 73110-2922 2014-07-16
1245506500 Sharon Lynne Rogers Military Health Care Provider 3415 Minor Rd, Fort Sill, OK 73503-4460 2012-03-30
1831216852 Lois Ann Umdenstock Military Health Care Provider 6136 S Fulton Ave, Tulsa, OK 74136-2007 2007-03-23
1225598980 Andrew Jonathan Carey Military Health Care Provider 527 Gott Rd, Enid, OK 73705-5103 2019-03-20
1801024369 John Allan Miller Military Health Care Provider 3009 Nw Wilson St, Ft. Sill, OK 73503-9042 2009-06-23
1871527929 Vinh X Vu Military Health Care Provider 5700 Arnold St, Tinker Afb, OK 73145-8105 2006-07-11
1013972884 Phillip Wayne Halcum Military Health Care Provider 109 Kerr Ave, Poteau, OK 74953-5270 2006-04-17

Competitor

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City LAWTON
Zip Code 73507

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Dataset Information

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.

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