Active NPI
2D Medgrp-Barksdale
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Barksdale AFB, LA
National Provider Identifier
1205800109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/Center
- Legal business name
- 2D MEDGRP-BARKSDALE
- Practice address
- 243 Curtiss Rd
Suite 100
Barksdale AFB, LA 71110-2425 - Phone
- (318) 456-6055
- Fax
- (318) 456-6065
- NPI assigned
- Feb 15, 2006
- Last updated
- Jun 12, 2025
- Organization subpart
- Yes
- Parent organization
- 2D MEDGRP-BARKSDALE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jen Lewandowski
- Title
- Dha Financial Manager
- Phone
- (703) 817-4030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military/U.S. Coast Guard Outpatient Clinic/Center | 261QM1100X | Primary | ||
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | 261QM1101X | |||
| Military/U.S. Coast Guard Pharmacy | 332000000X |
Addresses
Primary practice location
243 Curtiss Rd
Suite 100
Barksdale AFB, LA 71110-2425
Mailing address
243 Curtiss Rd
Suite 100
Barksdale AFB, LA 71110-2425
Phone (318) 456-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1929299 | Other | LA | NCPDP |
Other names 1
- Barksdale AFB MTF
National Provider Directory
National Provider Directory- Part of
- Barksdale Air Force Base
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749686400000",
"number": "1205800109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CURTISS RD",
"address_2": "SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6055",
"fax_number": "318-456-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CURTISS RD",
"address_2": "SUITE 100",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102425",
"telephone_number": "318-456-6055",
"fax_number": "318-456-6065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "2D MEDGRP-BARKSDALE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "2D MEDGRP-BARKSDALE",
"enumeration_date": "2006-02-15",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A",
"authorized_official_last_name": "LEWANDOWSKI",
"authorized_official_first_name": "JEN",
"authorized_official_title_or_position": "DHA FINANCIAL MANAGER",
"authorized_official_telephone_number": "703-817-4030"
},
"taxonomies": [
{
"code": "261QM1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1101X",
"taxonomy_group": "",
"desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
"state": null,
"license": null,
"primary": false
},
{
"code": "332000000X",
"taxonomy_group": "",
"desc": "Military/U.S. Coast Guard Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1929299",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Barksdale AFB MTF",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Barksdale AFB, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.