Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 14

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Military Health Care Provider Providers

NPI Name Type Address

1750427761

M.D. Sonny Ezebulunwor Ideozu

Individual

4801 E Linwood Blvd

Kansas City, MO

1073641650

M.D. Hugh Mestres

Individual

1038 Arbor Pointe Dr

Manchester, MO

1780956086

Gabe Fuller

Individual

4801 E Linwood Blvd

Kansas City, MO

1235650797

OD Jenae Stiles

Individual

4430 Missouri Avenue

Fort Leonard Wood Optometry

Fort Leonard Wood, MO

1487092797

DR. M.D. Brent Daniel Forrest

Individual

331 Sijen Ave

Whiteman Afb, MO

1023528064

DR. NURSE PRACTITIONER Melissa Nash Everage

Individual

331 Sijen Ave

Whiteman Afb, MO

1447693593

DR. DO April Renee Due

Individual

3100 Emanuel Cleaver Ii Blvd

Kansas City, MO

1194316109

Laquette Anderson Medcalf

Individual

3209 Maybelle Dr

Saint Louis, MO

1477037034

APRN Katrina Farrell

Individual

4430 Missouri Ave

Fort Leonard Wood, MO

1316470982

DR. M.D. Kelsey Lea Bean

Individual

4430 Missouri Ave

Fort Leonard Wood, MO

1902399132

PA-C Michael Creighton Johnson

Individual

331 Sijen Ave

Whiteman Afb, MO

1003558610

SGT Eric A Darden JR.

Individual

1400 Olive

1430 Olive 400 Ste

Saint Louis, MO

1275096737

DR. DO Richard K Newman

Individual

1201 S Grand Blvd

Saint Louis, MO

1609204254

D.O. John Copeland

Individual

331 Sijen Ave

Whiteman Afb, MO

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299