Victor Kyle Mumford
NPI 1881134211ActiveIndividual· General Practice· Joint Base Lewis McChord, WA
General Practice in Joint Base Lewis McChord, Washington, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2017). Enrolled in Medicare as practitioner - general practice.
Overview
| NPI | 1881134211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 4, 2017 |
| Last updated in NPPES | Aug 3, 2020 |
| Certified by provider | Aug 3, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 1969 | NE |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (ID) |
|---|
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2017 |
| Medicare specialty | General Practice |
Medical groups
- Utah Regional Hospitalists LLCOrem, UT · 119 clinicians
- Santibanez Pac IdahoIdaho Falls, ID · 7 clinicians
Hospital affiliations
- Eastern Idaho Regional Medical CenterIdaho Falls, ID
- Star Valley Medical CenterAfton, WY
- Teton Valley HospitalDriggs, ID
Other facilities
- Eastern Idaho Regional Medical CenterInpatient rehabilitation facility · Idaho Falls, ID
- Eagle Rock Health and Rehabilitation of CascadiaNursing home · Idaho Falls, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general practitioners in Joint Base Lewis McChord
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- 1821435710
- 1770398752
- 1467792358