88TH Medgrp-Wright-Patterson

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

88TH MEDGRP-WRIGHT-PATTERSON

Practice address

88 MDSS/Sgsrt
4881 Sugar Maple Drive
Wright Patterson, OH 45433-5546

Phone

(937) 257-0803

Fax

(937) 656-2656

NPI assigned

Jul 11, 2006

Last updated

Jun 17, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

88TH MEDGRP-WRIGHT-PATTERSONAs reported in NPPES

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

Authorized official

Name

Jen Lewandowski

Title

Dha Ubo

Phone

(703) 817-4030

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• 88th Medical Group Other name

Tax ID family

88TH Medgrp-Wright-Patterson3 organizations share this tax ID, including this one

Part of

88TH Medgrp-Wright-Patterson

Other organizations with this tax ID 2

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

• 88TH Medgrp-Wright-Patterson

  • Psychiatric Hospital Unit
  • Wpafb, OH
  • NPI 1124206594
  NPD tax ID
• 88TH Medgrp-Wright-Patterson

  dba Dod Wright Patterson Kittyhawk Pharmacy

  • Military/U.S. Coast Guard Pharmacy
  • Wright Patterson AFB, OH
  • NPI 1497163679
  NPD tax ID

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1275568909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 MDSS/SGSRT",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT PATTERSON",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-0803",
            "fax_number": "937-656-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 MDSS/SGSRT",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "WRIGHT PATTERSON",
            "state": "OH",
            "postal_code": "454335546",
            "telephone_number": "937-257-0803",
            "fax_number": "937-656-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "88TH MEDGRP-WRIGHT-PATTERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "88TH MEDGRP-WRIGHT-PATTERSON",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "DHA UBO",
        "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": false
        },
        {
            "code": "261QM1101X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "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": "36-66851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "88th Medical Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert D Greiman Jr., LCSW
• Leo Daniel Hurley, M.D.

• Military Hospital in Wright Patterson, OH
• Providers in Wright Patterson, OH by specialty
• Military Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.