Healthcare Provider Details

I. General information

NPI: 1508369315
Provider Name (Legal Business Name): JOHN JAMES BAGINSKI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2018
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

US NAVAL HOSPITAL OKINAWA FPO, AP 96362
CAMP FOSTER OKINAWA
9012202
JP

IV. Provider business mailing address

US NAVAL HOSPITAL OKINAWA FPO, AP 96362
CAMP FOSTER OKINAWA
9012202
JP

V. Phone/Fax

Practice location:
  • Phone: 98-971-9335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0062566
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: