Dwight D. Eisenhower Hospital, Fort Gordon

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON

Practice address

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Phone

(706) 787-2920

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tara Ford Romes, MASTER SOCIAL WORK

Title

Social Worker

Phone

(706) 220-0611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1033425897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 DREXEL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045044",
            "telephone_number": "706-922-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "706-787-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "FORD ROMES",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "706-220-0611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASTER SOCIAL WORK"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Michael Dunn, DDS
• Danielle Liane Dunnagan, MS, RD, LD
• Dwight D Eisenhower Army Medical Center
• Dwight D Eisenhower Medical Center
• Dwight D. Eisenhower Army Medical Center
• Thomas Edward Dykes, M.D.
• Nichole Eckrich
• Donald L. Edwards, PA-C
• Jan Parisot Edwards, RN,BSN,OCN
• Tracy L Eichel, MD

• Military Hospital in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.