Pamela Phyllis Ward-Demo, MD, DVM

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01067658A Issued in IN

Practice address

4881 Sugar Maple Dr
88TH Medical Group Internal Medicine
Wright-Patterson AFB, OH 45433

Phone

(937) 608-7889

NPI assigned

Dec 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Pamela Phyllis Ward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1396980843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "INFECTIOUS DISEASE CLINIC",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "address_2": "88TH MEDICAL GROUP INTERNAL MEDICINE",
            "city": "WRIGHT-PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-608-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD-DEMO",
        "first_name": "PAMELA",
        "middle_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "MD, DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01067658A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "WARD",
            "middle_name": "PHYLLIS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas Vaughn, PA-C
• Laura Virgo, MD
• Jacqueline Kate Wade, M.D.
• Elmer F Wahl, MD
• William Graham Wall, LICSW, BCD
• Alan Ward
• Allan E. Ward, M.D., M.P.H.
• John Gilbert Warnick, D.D.S.
• Kimberly C Warstler, FNP-BC
• Nicole Weckesser

• General Practice Physician in Wright Patterson AFB, OH
• Providers in Wright Patterson AFB, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.