JACOB PAPENFUSS (NPI# 1912484684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912484684 |
Entity Type | Individual |
Full Name | JACOB PAPENFUSS |
Credential | PT |
Practice Address |
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438 |
Mailing Address |
307 Arnold Ave Portland ND 58274-4428 |
Practice Telephone | 7014309028 |
Enumeration Date | 2018-07-25 |
Last Update Date | 2018-11-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | 2231 | ND | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 171000000X | Military Health Care Provider | Other Service Providers |
Street Address |
11050 MOUNT BELVEDERE BLVD |
City | FORT DRUM |
State | NY |
Zip Code | 13602-5438 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760471932 | Randall Alan Bischoff | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2005-10-19 |
1619582657 | Tarah Schmidt | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-09-15 |
1538778832 | Daniel L Dettman | Physical Therapist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-07-23 |
1942836978 | Christie Hurst | Licensed Practical Nurse | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2020-03-21 |
1679033112 | Taylor Nichole Singer | Psychologist | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-03-21 |
1134692361 | Drew Curtis Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2019-01-10 |
1457834814 | Timothy Karnuth | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-12 |
1598248262 | Oscar Alfredo Garzon | Student in an Organized Health Care Education/Training Program | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-09-10 |
1285124644 | Marjorie A Evans | Physician Assistant | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2018-05-11 |
1356842363 | Peter E Carr | General Practice | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-02-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
Find all providers in zip 13602 |
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 |
---|---|---|---|---|
1265915391 | Bryan Dylan Wheeler | Military Health Care Provider | Us Army, Ctmc, Fort Drum, NY 13603 | 2018-09-14 |
1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
1851675219 | Tara E Wise | Military Health Care Provider | 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438 | 2011-10-04 |
1144458761 | Leslie Ann Milano-luongo | Military Health Care Provider | 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602-5438 | 2009-06-23 |
1073769626 | Paul Andrew Carey | Military Health Care Provider | 11050 Mt Belvedere Blvd, Guthrie Orthopaedic Clinic, Fort Drum, NY 13602-5004 | 2008-08-14 |
1982685764 | Mark E. Lester | Military Health Care Provider | 11050 Mount Belvedere Blvd, Usa Meddac/credentials, Fort Drum, NY 13602-5438 | 2005-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538710389 | Denise Fay Noble | Military Health Care Provider | 4403 E Lake Rd, Wilson, NY 14172-9641 | 2019-09-24 |
1962912485 | Patricia Parrales | Military Health Care Provider | 921 Fox St Ph, Bronx, NY 10459-4304 | 2017-10-10 |
1548306939 | Terry Lynn Greenspan | Military Health Care Provider | 215 Drum Rd Rm D113, Staten Island, NY 10305-5001 | 2007-01-30 |
1568511814 | Judith Andrea Holmes | Military Health Care Provider | 144 35 175th Street, Springfield Gardens, NY 11413 | 2007-01-09 |
1003973652 | Adam H Schwinn | Military Health Care Provider | 29 Mclaughlin Way, Washingtonville, NY 10992-1151 | 2007-01-02 |
1447322987 | Amado Sanchez Santos | Military Health Care Provider | 100 S Clinton St, Syracuse, NY 13261-6100 | 2006-11-13 |
1568995298 | Abraham Choi | Military Health Care Provider | 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 | 2017-04-10 |
1457745242 | Daniel Joseph Finnin | Military Health Care Provider | 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 | 2015-03-19 |
1417134016 | Shane Daniel Benson | Military Health Care Provider | 215 Drum Rd, Staten Island, NY 10305-5001 | 2008-01-25 |
1942345905 | Roy M Mesenscott | Military Health Care Provider | 215 Drum Rd, Rm D 113, Staten Island, NY 10305-5001 | 2007-02-20 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on JACOB PAPENFUSS.
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.