Active NPI
Philip Allan La Kier, M.D.
- Aerospace Medicine Physician
- Bolling Afb, DC
National Provider Identifier
1962498956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 54443
- Practice address
- 110 Luke Ave RM 405
Bolling Afb, DC 20032-6400 - Phone
- (202) 767-4200
- NPI assigned
- Sep 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 54443 | MA | Primary |
Addresses
Primary practice location
110 Luke Ave RM 405
Bolling Afb, DC 20032-6400
Mailing address
110 Luke Ave RM 405
Bolling Afb, DC 20032-6400
Phone (202) 767-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000 | Other | MILITARY, SCOTT AFB IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54443 | MA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962498956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LUKE AVE RM 405",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200326400",
"telephone_number": "202-767-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LUKE AVE RM 405",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200326400",
"telephone_number": "202-767-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA KIER",
"first_name": "PHILIP",
"middle_name": "ALLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MA",
"license": "54443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MILITARY, SCOTT AFB IL",
"identifier": "000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bolling Afb, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.