10TH Medgrp-Academy

Primary specialty

Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X

Legal business name

10TH MEDGRP-ACADEMY

Practice address

4102 Pinion Dr
10 MDSS SGSB
Usaf Academy, CO 80840-2502

Phone

(719) 333-5648

Fax

(719) 333-5202

NPI assigned

Feb 7, 2006

Organization subpart

Yes

Parent organization

10TH MEDGRP-ACADEMYAs 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

Air Force Uniform Business Office

Phone

(703) 817-4030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• USAFA MTF Other name

Tax ID family

21 Medical Group3 organizations share this tax ID, including this one

Part of

21 Medical Group

Other organizations with this tax ID 2

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

• 10TH Medgrp-Academy

  • Military/U.S. Coast Guard Pharmacy
  • Usaf Academy, CO
  • NPI 1114024965
  NPD tax ID
• 10TH Medgrp-Academy

  • Military/U.S. Coast Guard Pharmacy
  • Usaf Academy, CO
  • NPI 1982010955
  NPD tax ID

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1780657239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "address_2": "10 MDSS SGSB",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5648",
            "fax_number": "719-333-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "address_2": "10 MDSS SGSB",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5648",
            "fax_number": "719-333-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "10TH MEDGRP-ACADEMY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "10TH MEDGRP-ACADEMY",
        "enumeration_date": "2006-02-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "JEN",
        "authorized_official_title_or_position": "AIR FORCE UNIFORM BUSINESS OFFICE",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0616536",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USAFA MTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 10TH Medgrp-Academy
• 10TH Medgrp-Academy
• 21 Medical Group
• Kathryn Louise Aasen, D.D.S.
• Kent Davis Abbott, M.D.
• Chadwick Bryant Ackison, PSY.D.

• Military/U.S. Coast Guard Outpatient Clinic/Center in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Military/U.S. Coast Guard Outpatient Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.