JACOB PAPENFUSS


Address: 11050 Mount Belvedere Blvd, Fort Drum, NY 13602-5438
Phone: 7014309028

JACOB PAPENFUSS (NPI# 1912484684) 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) 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

Taxonomy

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

Office Location

Street Address 11050 MOUNT BELVEDERE BLVD
City FORT DRUM
State NY
Zip Code 13602-5438

Providers in the same location

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

Providers in the same zip code

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
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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 city

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

Providers in the same taxonomy and state

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
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Competitor

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City FORT DRUM
Zip Code 13602

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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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