MRS. AMBER LEIGH TORDOFF (NPI# 1902379555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902379555 |
| Entity Type | Individual |
| Full Name | MRS. AMBER LEIGH TORDOFF |
| Other Name | MS. AMBER LEIGH ROSSER |
| Practice Address |
23d Medical Group 3278 Mitchell Blvd Building 900 Apo AA 31699 |
| Mailing Address |
3278 Mitchell Blvd Apo AA 31699 |
| Practice Telephone | 2292572778 |
| Mailing Telephone | 4349446289 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| 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 |
23D MEDICAL GROUP 3278 MITCHELL BLVD BUILDING 900 |
| City | APO |
| State | AA |
| Zip Code | 31699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1265415590 | Rosalie Andrea Castillo | Family Medicine | 347th Medical Group, 3278 Mitchell Blvd, Valdosta, GA 31699 | 2005-11-21 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1407293418 | Clayton Lively | Psychiatry & Neurology | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2013-05-30 |
| 1174899371 | Vincent Casey Allen Jr. | Psychologist | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2012-04-01 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| 1083988356 | Brock Allen Mcnabb | Social Worker | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2012-03-02 |
| Find all providers in zip 31699 | ||||
| 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 |
|---|---|---|---|---|
| 1124657382 | Logan Michael Dilik | Student in an Organized Health Care Education/Training Program | 88th Dental Squadron, 4881 Sugar Maple Drive, Apo, AA 45433-5529 | 2020-04-08 |
| 1417519349 | Peter Hwang | Student in an Organized Health Care Education/Training Program | 618th Dental Co, Carius Dental Clinic, Bldg# P3020 Attn: Credentials Office, Apo, AP 96271-5245 | 2019-07-01 |
| 1770143711 | Michelle Alexandra Engel | Student in an Organized Health Care Education/Training Program | Twentynine Palms Marine Base, 1591, Apo, AA 92278 | 2019-06-20 |
| 1124687108 | Dana Martin Poloni | Student in an Organized Health Care Education/Training Program | General Surgery, Dwight D Eisenhower Army Medical Cent, 300 East Hospital Road, Apo, AA 30905-5650 | 2019-06-12 |
| 1649836123 | Benjamin Truong | Student in an Organized Health Care Education/Training Program | Scott Air Force Base, 307 West Losey Street Building #1535, Apo, AA 62225 | 2019-05-10 |
| 1558925669 | Brian Ng | Student in an Organized Health Care Education/Training Program | South Drive, Scott Afb, Illinois, Apo, AA 62225 | 2019-04-24 |
| 1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
| 1649773854 | Monica Rani O'mahony | Student in an Organized Health Care Education/Training Program | 3d Maint Bn, Unit 38422, Apo, AP 96380 | 2018-03-14 |
| 1164958617 | David Miller | Student in an Organized Health Care Education/Training Program | Psc 41 Box 3787, Apo, AE 09464-3787 | 2017-05-03 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
| Find all providers in APO | ||||
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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.