Dwight D Eisenhower Army Medical Center

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

Legal business name

DWIGHT D EISENHOWER ARMY MEDICAL CENTER

Practice address

300 E Hospital Rd
Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905

Phone

(706) 787-1647

NPI assigned

Jul 18, 2013

Last updated

Jul 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Quinn, MD

Title

Im Residency Program Director

Phone

(706) 787-1647

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Michael Gaeta, DO FASN

  • Nephrology Physician
  • Fort Bragg, NC
  • NPI 1174950125
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1326480369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "address_2": "DWIGHT D. EISENHOWER ARMY MEDICAL CENTER",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "address_2": "DWIGHT D. EISENHOWER ARMY MEDICAL CENTER",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT D EISENHOWER ARMY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "IM RESIDENCY PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "706-787-1647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Dunbar
• Daniel David Dunham, DDS
• Ginger Marie Dunn, RD, LD/N
• Larry Michael Dunn, DDS
• Danielle Liane Dunnagan, MS, RD, LD
• Dwight D Eisenhower Medical Center
• Dwight D. Eisenhower Army Medical Center
• Dwight D. Eisenhower Hospital, Fort Gordon
• Thomas Edward Dykes, M.D.
• Nichole Eckrich

• Military Hospital in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.