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“Physician Assistant” (Fort Drum, NY)

Location: Fort Drum, NY
Taxonomy: Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1013993625 — DAVID LEWIS KEYES RPA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-5508
1023305729 — BRADY SIMPKINS PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 802-258-0301
1023817376 — PATRICK ALLEN CLAPP PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-5516
1033701719 — KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2778
1053178277 — JEREMIAH C CLESTER PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2778
1083126940 — TETEVI SENOUWOGBE TORSOO PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2778
1083308605 — JACOB MILLER
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2729
1104802941 — WILLIAM J. FLYNN III PA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1124899026 — JUSTIN DAVID RADO PHYSICIAN ASSISTANT
Practice Location Address:
USA MEDDAC 11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602
Practice Phone: 315-772-6214
1154600906 — JILL ALLYN ROGERS PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 270-300-7544
1174866594 — JANELLE LYNN CORDOVA PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-9823
1194091876 — MR. DAVID M CHAVEZ PA
Practice Location Address:
31 IN BN 04 IN BN IBCT
FORT DRUM NY
13602
Practice Phone: 910-658-6113
1215204755 — MR. SCOTT DAVID FOWLER P.A.
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-774-1416
1225223431 — MS. NANCY ELIZABETH MUNOZ PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 775-240-3734
1235697590 — JOSHUA LEE HICKMAN PA-C
Practice Location Address:
BLDG P10506 EUPHRATES RIVER VALLEY RD
FORT DRUM NY
13602
Practice Phone: 315-772-2778
1245261940 — MS. JESSICA LYNN ROBBINS PA
Practice Location Address:
USA MEDDAC 11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602
Practice Phone: 315-772-1834
1245642156 — MICHAEL HUNT PA-C
Practice Location Address:
S. RIVA RIDGE LOOP CONNER TROOP MEDICAL CLINIC, BLDG 10506A
FORT DRUM NY
13602
Practice Phone: 315-772-7333
1265915391 — BRYAN DYLAN WHEELER PA-C
Practice Location Address:
US ARMY CTMC
FORT DRUM NY
13603
Practice Phone: 315-955-3977
1295343218 — JOSHUA RYAN AGARD PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 360-823-6009
1326621350 — BRETT POFFENBERGER PA
Practice Location Address:
USA MEDDAC 11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602
Practice Phone: 315-772-2778
1336220573 — MARTIN LEE STEWART PA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC, ATTN: CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1346723012 — BIVOR SHRESTHA APA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-5505
1376366310 — ANDREW DAVID CORNELISON PA-C
Practice Location Address:
11050 MT. BELVEDERE BLVD
FORT DRUM NY
13602-5004
Practice Phone: 515-829-7710
1386384139 — SEAN PATRICK MURPHY PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-774-1415
1427036276 — JOWANNA MAXWELL STEWART PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2778
1427048412 — HEIDI L BOERMAN PA-C, ATC
Practice Location Address:
USA MEDDAC ATTN: CREDENTIALS 11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-5004
Practice Phone: 315-772-4025
1427731108 — WILLIAM D MANGUM II PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-6445
1437836335 — AHMED OLASUNKANMI ASHIMI PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2778
1497422141 — JINWOOK SEO PHYSICIAN ASSISTANT
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2778
1508824087 — MRS. RACHEL ANNE MEIROSE PA-C
Practice Location Address:
T-27 N. LEWIS AVE. USA MEDDAC
FORT DRUM NY
13602-5004
Practice Phone: 315-772-9947
1518369545 — GREGORY H PELCAK P.A.
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5004
Practice Phone: 315-774-3057
1518792704 — KENNETH ORDIZ MUTIA
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-8813
1538795661 — STEPHEN ROBINSON PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-774-3432
1538852017 — ELEANOR PARK
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2778
1548152523 — MR. ALFRED MICHAEL BABIA BARROZO PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2151
1548712078 — PHILLIP DANDRIDGE PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 706-833-3495
1598741498 — DERIK HARALD SWEE PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1609389097 — JOHN CHARLES BOCKMANN PHYSICIAN ASSISTANT
Practice Location Address:
CONNOR TROOP MEDICAL CLINIC 10506 EUPHRATES RIVER VALLEY RD
FORT DRUM NY
13602
Practice Phone: 615-974-2093
1619631256 — MICHAEL LAMONT PA-C
Practice Location Address:
USA MEDDAC 11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602
Practice Phone: 315-772-2778
1659178549 — MICHAEL BAXTER
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 774-232-4638
1659989440 — PATRICK MURPHY OGDEN PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-6976
1700179199 — RUSSELL ADAM BURNHAM PA-C
Practice Location Address:
P-10506 EUPHRATES RIVER VALLEY RD 1-89 CAV, 2BCT, 10TH MTN DIV
FORT DRUM NY
13602-5438
Practice Phone: 315-774-0024
1700301660 — JEWEL HINGOLA SONGO PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2091
1710376173 — MR. STEPHEN M. HANNA RPA-C
Practice Location Address:
10506 S. RIVA RIDGE RD.
FORT DRUM NY
13602
Practice Phone: 315-772-2778
1710403654 — DUSTIN YOUNG PHYSICIAN ASSISTANT
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-774-5804
1710766498 — MR. LEONARD JOSEPH BAILEY JR. PA-C
Practice Location Address:
11050 MT BELVEDERE BLVD
FORT DRUM NY
13602-2603
Practice Phone: 315-772-2778
1730536004 — MR. ANTON ROY WINEMAN JR. PA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-774-3052
1750968525 — MR. JOHN PAUL ROBERTS
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2151
1760471932 — MR. RANDALL ALAN BISCHOFF RPA-C
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1801874995 — WADE ALAN SWATSWORTH PA-C, MPAS
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC/ CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1831857663 — BRICE SCOTT PA-C
Practice Location Address:
USA MEDDAC 11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 315-772-2778
1861478653 — JEFFREY M SZYMANSKI PA, MPAS, APA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC
FORT DRUM NY
13602-5438
Practice Phone: 315-772-9609
1881720928 — YOLANDA KAYE COLON PA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN CREDENTIALS
FORT DRUM NY
13602-5438
Practice Phone: 315-772-4025
1992288724 — KABITA BISTA
Practice Location Address:
11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
Practice Phone: 153-772-3386

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