NPIMap

Organization Active NPI

United States Air Force

  • Student in an Organized Health Care Education/Training Program
  • Lackland Air Force Base, TX
National Provider Identifier
1154545440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
UNITED STATES AIR FORCE
Practice address
Wilford Hall Medical Center
2200 Bergquist Drive
Lackland Air Force Base, TX 78236
Phone
(210) 292-7520
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Woodson Scott Jones, MD
Title
Pediatric Residency Director
Phone
(210) 292-7520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

Wilford Hall Medical Center
2200 Bergquist Drive
Lackland Air Force Base, TX 78236

Mailing address

918 Dillons Vis
San Antonio, TX 78251-4339
Phone (210) 681-0797

National Provider Directory

National Provider Directory
Tax ID family
55 Mdos29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154545440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 DILLONS VIS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514339",
            "telephone_number": "210-681-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL MEDICAL CENTER",
            "address_2": "2200 BERGQUIST DRIVE",
            "city": "LACKLAND AIR FORCE BASE",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES AIR FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "WOODSON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PEDIATRIC RESIDENCY DIRECTOR",
        "authorized_official_telephone_number": "210-292-7520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland Air Force Base, TX

Sources for this page

  • 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.