45th Medgrp-Patrick
45th Medgrp-Patrick is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Patrick Afb, FL, holding Type 2 (organization) NPI 1518941921 since 2005. The authorized official on file is Jen Lewandowski, Air Force Ubo Analyst.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1518941921 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 45th Medgrp-Patrick |
| Other name | <Unavail> |
| Parent organization | 45th Medgrp-Patrick |
| Practice address | 1381 S PATRICK DR, Patrick Afb, FL, 32925 |
| Phone | 3214948457 |
| Fax | 3214947821 |
| Enumeration date | 2005-11-30 |
| 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 | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-80465 | Other | FL | NCPDP |
Copy-ready billing details
Provider: 45th Medgrp-Patrick NPI: 1518941921 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 1381 S PATRICK DR, Patrick Afb, FL, 32925
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144222118 | Gilbert Hansen | Individual | Preventive Medicine/Occupational Environmental Medicine Physician | Patrick Afb, FL |
| 1942202817 | Archie Bockhorst | Individual | Optometrist | Patrick Afb, FL |
| 1902891468 | Randy Dutton | Individual | Optometrist | Patrick Afb, FL |
| 1134114606 | Leonard Schubring | Individual | Physician Assistant | Patrick Afb, FL |
| 1912992231 | Susan Thompson | Individual | Social Worker | Patrick Afb, FL |
| 1871588178 | Sondra Long | Individual | Clinical Social Worker | Patrick Afb, FL |
| 1033104096 | David Farrell | Individual | Physical Therapist | Patrick Afb, FL |
| 1730175191 | John Zurasky | Individual | Dentist | Patrick Afb, FL |
Verify this record
Cross-check NPI 1518941921 against the authoritative CMS record: view 45th Medgrp-Patrick 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
Who is the authorized official for 45th Medgrp-Patrick?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2025-06-16.