Active NPI
Jared Aguon
- Independent Duty Corpsman
- Camp Lejuene, NC
National Provider Identifier
1083969810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- License
- AGUONJK183N3
- Practice address
- Holcolm Blvd, French Creek, BLDG 308, CLR 27, 2D MLG
PSC Box 20125
Camp Lejuene, NC 28542 - Phone
- (910) 451-5125
- NPI assigned
- Jul 18, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | AGUONJK183N3 | WA | Primary |
Addresses
Primary practice location
Holcolm Blvd, French Creek, BLDG 308, CLR 27, 2D MLG
PSC Box 20125
Camp Lejuene, NC 28542
Mailing address
PSC Box 20125
Group Aid Station, French Creek Clinic FC 308
Camp Lejuene, NC 28542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AGUONJK183N3 | WA | MD | Independent Duty Corpsman |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1083969810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSC BOX 20125",
"address_2": "GROUP AID STATION, FRENCH CREEK CLINIC FC 308",
"city": "CAMP LEJUENE",
"state": "NC",
"postal_code": "28542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOLCOLM BLVD, FRENCH CREEK, BLDG 308, CLR 27, 2D MLG",
"address_2": "PSC BOX 20125",
"city": "CAMP LEJUENE",
"state": "NC",
"postal_code": "28542",
"telephone_number": "910-451-5125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUON",
"first_name": "JARED",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "WA",
"license": "AGUONJK183N3",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejuene, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.