509th Medgrp-Whiteman
509th Medgrp-Whiteman is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Whiteman Afb, MO, holding Type 2 (organization) NPI 1033196480 since 2005. The authorized official on file is Jen Lewandowski, Dha Ubo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1033196480 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 509th Medgrp-Whiteman |
| Other name | <Unavail> |
| Parent organization | 509th Medgrp-Whiteman |
| Practice address | 331 SIJAN AVE, 509 MDSS SGSR, Whiteman Afb, MO, 65305 |
| Phone | 6606871838 |
| Fax | 6606875121 |
| Enumeration date | 2005-12-28 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Dha Ubo |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2632897 | Other | MO | NCPDP |
Copy-ready billing details
Provider: 509th Medgrp-Whiteman NPI: 1033196480 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 331 SIJAN AVE, 509 MDSS SGSR, Whiteman Afb, MO, 65305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760471635 | Tammy Karamarinov | Individual | Pharmacist | Whiteman Afb, MO |
| 1467442954 | Christine Tholen | Individual | Family Medicine Physician | Whiteman Afb, MO |
| 1467430546 | James Coffidis | Individual | Clinical Social Worker | Whiteman Air Force Base, MO |
| 1447227871 | Trevor Ambron | Individual | Physician Assistant | Whiteman Afb, MO |
| 1033151089 | Arthur Ross | Individual | Clinical Psychologist | Whiteman Air Force Base, MO |
| 1891714796 | Douglas Odegaard | Individual | Pharmacotherapy Pharmacist | Whiteman Afb, MO |
| 1215008065 | Eddie Uy | Individual | Pediatrics Physician | Knob Noster, MO |
| 1154450955 | Melanie Roberts-Fuston | Individual | Clinical Social Worker | Whiteman Air Force Base, MO |
Verify this record
Cross-check NPI 1033196480 against the authoritative CMS record: view 509th Medgrp-Whiteman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for 509th Medgrp-Whiteman?
Who is the authorized official for 509th Medgrp-Whiteman?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.