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509TH MEDGRP-WHITEMAN
NPI 1033196480
Clinic/Center - Military/U.S. Coast Guard Outpatient in Whiteman Afb, MO

Active since December 28, 2005
331 SIJAN AVE, 509 MDSS SGSR, WHITEMAN AFB, MO 65305(660) 687-1838(660) 687-5121 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, May 29, 2025 (2 updates tracked since 2025).

About 509th Medgrp-whiteman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

509TH MEDGRP-WHITEMAN (NPI 1033196480) is a healthcare organization registered as a military/u.s. coast guard outpatient in Whiteman Afb, Missouri and active in the NPI registry since December 2005. The organization lists Jen Lewandowski, Dha Ubo, as its authorized official.

NPPES Registry Identity

NPI1033196480
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name509TH MEDGRP-WHITEMAN
Location Address331 SIJAN AVE, 509 MDSS SGSRWhiteman Afb, MO 65305-1269
Mailing Address331 Sijan Ave, 509 Mdss SgsrWhiteman Afb, MO 65305-1269 · (660) 687-1838 · Fax (660) 687-5121
Phone(660) 687-1838
Fax(660) 687-5121
Organization SubpartYes
Authorized OfficialJen LewandowskiDha Ubo · (703) 817-4030
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
✔ NPI 1033196480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
331 SIJAN AVE, Whiteman Afb, MO 65305
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Other Names 1

Other NameWhiteman Afb Mtf

Other Identifiers 1

Other2632897MO · Ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. WHITNEY NICOLE BROOKS LCSW
Social Worker (Clinical)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-7222
ARTHUR REYNOLD ROSS JR. PHD
Psychologist (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Johnson County (660) 687-4341
DR. COLIN MATTHEW HART MD
Family Medicine
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-4908
MARGARET STEPANIAK RPH
Pharmacist (Ambulatory Care)
331 SIJAN AVE
WHITEMAN AFB, MO 65305
Johnson County (660) 687-2188
JENNA CLARK LEWIS PSYD
Psychologist
331 SIJAN AVE, WHITEMAN AFB
WHITEMAN AFB, MO 65305
Johnson County (606) 874-3416
MRS. MELANIE BEVERELY ROBERTS-FUSTON LCSW
Social Worker (Clinical)
331 SIJAN AVE
WHITEMAN AIR FORCE BASE, MO 65305
Johnson County (660) 687-4341
EDDIE HAO UY M.D.
Pediatrics
331 SIJAN AVE
KNOB NOSTER, MO 65305
Johnson County (660) 687-6405
HALEY ELIZABETH JAMES DPT
Physical Therapist
331 SIJAN AVE, 509 MDG
WHITEMAN AFB, MO 65305
Johnson County (660) 687-2128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 509th Medgrp-Whiteman's NPI number?

The NPI number for 509th Medgrp-Whiteman is 1033196480. It was assigned to this organization in the NPPES registry on December 28, 2005. The provider is also known as Whiteman AFB MTF.

Where is 509th Medgrp-Whiteman located?

509th Medgrp-Whiteman is located at 331 Sijan Ave 509 Mdss Sgsr, Whiteman Afb, MO 65305. The listed phone number is (660) 687-1838.

What is 509th Medgrp-Whiteman's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 509th Medgrp-Whiteman was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.