IAN JAMES MUKISA PA
NPI 1821632985
Student in an Organized Health Care Education/Training Program in Fort Gordon, GA

Q: What is Ian Mukisa's NPI number?

The NPI number for Ian Mukisa is 1821632985. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Q: What is Ian Mukisa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Mukisa was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since November 01, 2019

DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, 300 EAST HOSPITAL ROAD, FORT GORDON, GA 30909(631) 568-1009(706) 787-1745 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2021, Nov 1, 2019 (2 updates tracked since 2019).

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About Ian James Mukisa Pa NPPES

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

IAN JAMES MUKISA PA (NPI 1821632985) is an individual student in an organized health care education/training program in Fort Gordon, Georgia and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1821632985

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameIAN JAMES MUKISACredential: PA

Location AddressDWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, 300 EAST HOSPITAL ROADFort Gordon, GA 30909-5650

Mailing Address300 East Hospital RoadFort Gordon, GA 30909-5650 · Fax (706) 787-1745

Phone(631) 568-1009

Fax(706) 787-1745

Sole ProprietorYes

Enumeration DateNovember 1, 2019

Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1821632985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER, Fort Gordon, GA 30909

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ian Mukisa's NPI number?

The NPI number for Ian Mukisa is 1821632985. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Where is Ian Mukisa located?

Ian Mukisa practices at Dwight David Eisenhower Army Medical Center 300 East Hospital Road, Fort Gordon, GA 30909. The listed phone number is (631) 568-1009.

What is Ian Mukisa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ian Mukisa was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.