List of United States Public Health Service Commissioned Corps four-star admirals

This is a complete list of four-star admirals in the United States Public Health Service Commissioned Corps. The rank of admiral (or full admiral, or four-star admiral), ranks above vice admiral (three-star admiral) and is the highest rank achievable in the U.S. Public Health Service Commissioned Corps.

Flag of a U.S. Public Health Service four-star admiral (assistant secretary for health)

There have been six four-star admirals in the history of the U.S. Public Health Service Commissioned Corps. All six were directly commissioned into the regular corps. One was already an officer in the regular corps and the other five were originally civilians who were appointed to the regular corps and to grade upon taking office.

List of admirals

The following lists of four-star admirals are sortable by last name, date of rank. The date listed is that of the officer's first promotion to admiral, and may differ from the officer's entry in the U.S. Public Health Service register. The year commissioned is taken to be the year the officer was directly commissioned which may precede the officer's actual date of commission by up to two years. Each entry lists the admiral's name, date of rank, active-duty position held while serving at four-star rank, number of years of active-duty service at four-star rank (Yrs), year commissioned and source of commission, number of years in commission when promoted to four-star rank (YC), and other biographical notes.

#NamePhotoDate of rankPositionYrsCommissionYCNotes
1masonJames O. Mason 1 Oct 1989  41983 (direct)6(1930–2019) Acting Surgeon General, 1989–1990.
2satcherDavid Satcher 13 Feb 1998  31998 (direct)0(1941–        ) Reverted down to a vice admiral in 2001 after completing three years as ASH but remained as Surgeon General until 2002.
3agwunobiJohn O. Agwunobi 4 Jan 2006  22005 (direct)0
4garciaJoxel García 28 Mar 2008  12008 (direct)0(1962–        ) First Puerto Rican to serve as Assistant Secretary for Health.
5giroirBrett P. Giroir 22 Feb 2018  32018 (direct)0(1960–        ) Acting Commissioner, Food and Drugs Administration 2019.
6levineRachel L. Levine 19 Oct 2021  32021 (direct)0(1957–        ) Secretary, Pennsylvania Department of Health, 2017–2021. First openly transgender person to achieve four-star rank in any uniformed service.

1988–present

Rachel LevineBrett GiroirJoxel GarcíaJohn O. AgwunobiDavid SatcherJames O. Mason

See also