IndividualActive
Jack Thammavongsa
NPI 1174848683 · Independent Duty Corpsman · Fpo
Jack Thammavongsa is a Independent Duty Corpsman provider in Fpo (NPI 1174848683).
Provider details
- NPI number
- 1174848683
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
67% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3d Med Bn, 3d Mlg
H&s Co Unit #38447
Fpo, 96604-8447
Phone: (315) 623-4960
Mailing address
Psc 482
Fpo, AP 96362-9998
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2010-03-29
Frequently asked questions
- What is Jack Thammavongsa's NPI number?
- Jack Thammavongsa's National Provider Identifier (NPI) is 1174848683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Thammavongsa's specialty?
- Jack Thammavongsa is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Jack Thammavongsa located?
- Jack Thammavongsa's practice location on file with NPPES is 3d Med Bn, 3d Mlg, Fpo, 96604-8447.
- What is Jack Thammavongsa's phone number?
- The practice phone number listed in the NPPES registry for Jack Thammavongsa is (315) 623-4960.
- Is Jack Thammavongsa's NPI active?
- Yes — Jack Thammavongsa's NPI (1174848683) is active in the NPPES registry as of the last update on 2010-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.