436th Medgrp-Dover
436th Medgrp-Dover is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Dover Afb, DE, holding Type 2 (organization) NPI 1437112646 since 2006. The authorized official on file is Jen Lewandowski, Air Force Ubo Analyst.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1437112646 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 436th Medgrp-Dover |
| Other name | <Unavail> |
| Parent organization | 436th Medgrp-Dover |
| Practice address | 300 TUSKEGEE BLVD, Dover Afb, DE, 19902 |
| Phone | 3026772649 |
| Fax | 3026772051 |
| Enumeration date | 2006-04-10 |
| Last updated in NPPES | 2025-06-16 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Air Force Ubo Analyst |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | DE |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | DE |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-03735 | Other | DE | NCPDP |
Copy-ready billing details
Provider: 436th Medgrp-Dover NPI: 1437112646 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 300 TUSKEGEE BLVD, Dover Afb, DE, 19902
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1376536813 | Phillip Petterborg | Individual | Optometrist | Dover Afb, DE |
| 1558355420 | Cora Randle | Individual | Internal Medicine Physician | Dover Afb, DE |
| 1548254170 | Nghia Nguyen | Individual | Pediatrics Physician | Dover Afb, DE |
| 1588651020 | Timothy Pendergrass | Individual | Diagnostic Radiology Physician | Dover Afb, DE |
| 1598755084 | Geoffrey Crawley | Individual | Diagnostic Radiology Physician | Dover Afb, DE |
| 1699757153 | Paul Doughten | Individual | Family Medicine Physician | Dover, DE |
| 1295712800 | Vincent Floryshak | Individual | Dentist | Dover Afb, DE |
| 1376520981 | Christopher Flynn | Individual | Psychiatry Physician | Dover Afb, DE |
Verify this record
Cross-check NPI 1437112646 against the authoritative CMS record: view 436th Medgrp-Dover 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 a Type 2 NPI?
What type of organization is 436th Medgrp-Dover?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-06-16.