355th Medgrp-Davis-Monthan
355th Medgrp-Davis-Monthan is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Tucson, AZ, holding Type 2 (organization) NPI 1245210384 since 2006. The authorized official on file is Jen Lewandowski, Air Force Uniform Business Office.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1245210384 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 355th Medgrp-Davis-Monthan |
| Parent organization | 355th Medgrp-Davis-Monthan |
| Practice address | 4175 S ALAMO AVE, Tucson, AZ, 85707 |
| Phone | 5202281506 |
| Fax | 5202280183 |
| Enumeration date | 2006-01-17 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Air Force Uniform Business Office |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0322103 | Other | AZ | NCPDP |
Copy-ready billing details
Provider: 355th Medgrp-Davis-Monthan NPI: 1245210384 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 4175 S ALAMO AVE, Tucson, AZ, 85707
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396737987 | Brett Bishop | Individual | Orthopedic Physical Therapist | Tucson, AZ |
| 1821083536 | Sandra Kuhn | Individual | Women's Health Nurse Practitioner | Davis Monthan Afb, AZ |
| 1093704256 | Kenneth Knight | Individual | Aerospace Medicine Physician | Davis Monthan Afb, AZ |
| 1134110174 | Althea Miller | Individual | Advanced Practice Midwife | Tucson, AZ |
| 1134102882 | Lisa Firestone | Individual | General Practice Physician | Davis Monthan A F B, AZ |
| 1225012321 | Gary Hurwitz | Individual | Emergency Medicine Physician | Tucson, AZ |
| 1326022005 | Michael Pischke | Individual | Physician Assistant | Tucson, AZ |
| 1538146972 | Shannen Wright | Individual | Women's Health Nurse Practitioner | Davis Monthan Afb, AZ |
Verify this record
Cross-check NPI 1245210384 against the authoritative CMS record: view 355th Medgrp-Davis-Monthan 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 355th Medgrp-Davis-Monthan?
Who is the authorized official for 355th Medgrp-Davis-Monthan?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-16.