Wilford Hall Medical Center

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

WILFORD HALL MEDICAL CENTER

Practice address

18200 Blanco SPGS Apt 112
San Antonio, TX 78258-4562

Phone

(559) 731-6195

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Darlon Jackson

Title

Credential Manager

Phone

(210) 292-6707

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon R. Bannister, DDS,MS

  • Periodontics
  • Lackland Afb, TX
  • NPI 1568440642
  NPD (past)
• Dennis Jay Robinson, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lackland Afb, TX
  • NPI 1225016694
  NPD (past)
• Melody Vinson

  • Physician Assistant
  • Lackland Afb, TX
  • NPI 1629056064
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144323650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BERQUIST DRIVE, SUITE 1",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "78236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 BLANCO SPGS APT 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584562",
            "telephone_number": "559-731-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILFORD HALL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DARLON",
        "authorized_official_title_or_position": "CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "210-292-6707"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Lynn Wiles, PHARM.D.
• Wade Wiles, PHARMD
• Sandra Denise Wiley, LMSW-IPR
• Sarah Elizabeth Wiley, FNP-C
• Amber Mae Wilfong
• Jennifer A Wilford, COTA
• Skylar Braeden Wilgers
• Susan Elizabeth Wilgus, FNP
• Chance Wilham, NNP
• Jane Wilhelm, PT

• Military Hospital in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Military Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.