WARREN SKINNER (NPI# 1073810917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073810917 |
| Entity Type | Individual |
| Full Name | WARREN SKINNER |
| Credential | IDC |
| Practice Address |
1840 Gator Blvd Virginia Beach VA 23459-8931 |
| Practice Telephone | 7577632198 |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598182537 | Warren Skinner | Counselor | 402 S Silver Springs Rd, Cape Girardeau, MO 63703-7536 | 2014-03-27 |
| Street Address |
1840 GATOR BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23459-8931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467630947 | Jose Omar Vargas | Military Health Care Provider | 1840 Gator Blvd, Bldg: 3841, Virginia Beach, VA 23459-8931 | 2008-02-06 |
| 1164859930 | Barry Bertolasio | Military Health Care Provider | 1840 Gator Blvd, Building 3841, Virginia Beach, VA 23459-8931 | 2013-10-10 |
| 1043486855 | Tadeo E O'brien | Military Health Care Provider | 1840 Gator Blvd, Virginia Beach, VA 23459-8931 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497218556 | Carli Michelle Deitel | Student in an Organized Health Care Education/Training Program | Uss Carter Hall, Virginia Beach, VA 23459 | 2019-04-07 |
| 1508395021 | Graham Christian Ellis | Internal Medicine | Eod Esu2 Medical Department, 2520 Midway Rd, Ste 400, Norfolk, VA 23459 | 2017-06-08 |
| 1346686888 | Jonathan Kan | Military Health Care Provider | 1855 Helicopter Road, Virginia Beach, VA 23459 | 2013-05-10 |
| 1710276480 | Michael Monroe | Military Health Care Provider | 2520 Midway Rd, Ste 200, Eodmu Two Medical Dept, Virginia Beach, VA 23459 | 2011-04-04 |
| 1922214378 | Zachary Dukane Pryor | Military Health Care Provider | 1745 10th Street, Beach Master Unit Two, Virginia Beach, VA 23459 | 2007-05-15 |
| 1962561118 | James Andrew Church | Nurse Practitioner | 642 New Guinea Rd, Ft. Story, VA 23459 | 2006-12-06 |
| 1134226988 | Mcdonald Army Health Center | Military/U.S. Coast Guard Pharmacy | 649 New Guinea Rd, Ft Story, VA 23459 | 2006-09-20 |
| 1376946897 | Lydia Kay Andaya | Military Health Care Provider | 2220 Schofield Rd, Virginia Beach, VA 23459 | 2014-09-29 |
| 1326467754 | Sajeewane Manjula Seales | Family Medicine | Naval Medical Center Portsmouth, 1035 Nider Blvd, Virginia Beach, VA 23459 | 2014-04-14 |
| 1255677332 | Daniel Wayne Davis | Physician Assistant | 1035 Nider Blvd, Suite 100, Virginia Beach, VA 23459 | 2012-12-18 |
| Find all providers in zip 23459 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455522 | Kevin Bradley | Military Health Care Provider | 903 13th St, Virginia Beach, VA 23451-4476 | 2020-07-23 |
| 1851900088 | Seth Walter | Military Health Care Provider | 1825 Olympic Dr, Virginia Beach, VA 23453-3720 | 2020-07-23 |
| 1912545534 | Ashton Neal Burnett | Military Health Care Provider | 1875 Cove Rd Bldg 3806, Virginia Beach, VA 23459-8911 | 2019-12-13 |
| 1578056743 | Elis Bojaxhi | Military Health Care Provider | 3044 Ashlawn Ter, Virginia Beach, VA 23452-6508 | 2018-06-12 |
| 1497298616 | Mario Zavala | Military Health Care Provider | 408 N Amsterdam Ct, Virginia Beach, VA 23454-4213 | 2016-11-19 |
| 1568904738 | Pierce Cogburn | Military Health Care Provider | 3985 Old Forge Rd, Virginia Beach, VA 23452-2173 | 2016-11-04 |
| 1851841449 | John Douglas Moore | Military Health Care Provider | 1004 Hermitage Rd Bldg 1014, Virginia Beach, VA 23459-9100 | 2016-10-07 |
| 1730559618 | Aaron Joseph Cortina | Military Health Care Provider | 2340 Amphibious Dr, Bldg 2012 Suite 125, Virginia Beach, VA 23459-8810 | 2015-10-05 |
| 1427430297 | Daniel Anthony Leonesio | Military Health Care Provider | 1432 Pandoria Ct, Virginia Beach, VA 23455-3738 | 2015-06-29 |
| 1346659570 | Nicholas Charles Edward Rohde | Military Health Care Provider | 4946 Juno Rd, Virginia Beach, VA 23455-2244 | 2014-08-13 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23459 |
Please comment or provide details below to improve the information on WARREN SKINNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.