US Army

Primary specialty

ParamedicTaxonomy code 146L00000X

License

12890 Issued in GA

Legal business name

US ARMY

Practice address

1790 William H Wilson Ave
Fort Stewart, GA 31314-3100

Phone

(912) 435-0011

NPI assigned

Mar 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth Hesse, M.D.

Title

Battalion Surgeon

Phone

(912) 435-0011

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1003209735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 WILLIAM H WILSON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313143100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 WILLIAM H WILSON AVE",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313143100",
            "telephone_number": "912-435-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US ARMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "HESSE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BATTALION SURGEON",
        "authorized_official_telephone_number": "912-435-0011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "12890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NREMT REG #",
            "identifier": "M8074351",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NREMT CANDIDATE ID",
            "identifier": "NR00426616",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chau Truong
• Melissa Diane Tsai, PT, DPT
• Lisa Tyler, R.N.
• U.S. Army
• Irene Umana-Maxwell, LCSW
• US Army
• Jamie Vander Ark, L.P.N.
• Gerald Lee Vander Heyden, DC
• George Vanderhoof
• Lucas Vannoy, D.O.

• Paramedic in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Paramedic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.