MR. LUIS BALTAZAR BAPTISTA


Address: 5955 Zeamer Ave, Jber, AK 99506-3702
Phone: 9786067063

MR. LUIS BALTAZAR BAPTISTA (NPI# 1104303320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104303320
Entity Type Individual
Full Name MR. LUIS BALTAZAR BAPTISTA
Credential IDMT
Practice Address 5955 Zeamer Ave
Jber
AK 99506-3702
Practice Telephone 9786067063
Mailing Telephone 9786067063
Enumeration Date 2018-07-20
Last Update Date 2018-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Other Providers LUIS BAPTISTA

NPI Name Taxonomy Address Enumeration
1417434887 Luis Baptista Counselor 1100 Washington St Ste 206, Dorchester, MA 02124-5520 2018-07-27

Office Location

Street Address 5955 ZEAMER AVE
City JBER
State AK
Zip Code 99506-3702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031768 Robert Fenton Tyree Family Medicine 5955 Zeamer Ave, Jber, AK 99506-3702 2005-05-28
1457985210 Allison Nicole Womble Pharmacist 5955 Zeamer Ave, Jber, AK 99506-3702 2020-03-02
1982249579 Nicolas Araiza Jr. Social Worker 5955 Zeamer Ave, Jber, AK 99506-3702 2019-11-07
1235772732 Sean Michael Batzer Physical Therapist 5955 Zeamer Ave, Jber, AK 99506-3702 2019-10-28
1912540295 Melody Megan Thompson Nurse Practitioner 5955 Zeamer Ave, Jber, AK 99506-3702 2019-10-19
1932752771 Kevin T Watanabe Dietitian, Registered 5955 Zeamer Ave, Jber, AK 99506-3702 2019-07-22
1851853048 Jordan Matthew Cate Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2019-04-05
1669933719 Keith Happawana Counselor 5955 Zeamer Ave, Jber, AK 99506-3702 2019-03-29
1134611213 Luke Acker Psychologist 5955 Zeamer Ave, Jber, AK 99506-3702 2018-06-04
1598252686 Paul Lickteig Physical Therapist 5955 Zeamer Ave, Jber, AK 99506-3702 2018-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538797279 Mark Pulver Social Worker 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 2020-03-30
1871052837 Ryan Kenny Zarnowski Dentist 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 2019-03-18
1679056659 Bennett Robert Stadler Physician Assistant 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 2018-09-14
1437678687 Mary Ann Barnard Nurse Practitioner Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 2017-09-19
1205375698 Kuuipo Lau Social Worker 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 2017-02-17
1427434315 Vance Knauer Dentist 673mdg 5955 Zeamer Ave, Jber, AK 99506 2015-08-03
1295112159 Jacob Eby Pediatrics 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 2015-04-29
1174956338 Scott M Cheney Physical Therapist 673mdg, 5955 Zeamer Ave, Jber, AK 99506 2013-08-12
1518305580 Jennifer Lynn Robison Physician Assistant 65955 Zeamer Avenue, Jber, AK 99506 2013-06-12
1588939664 Paul Aaron Garrett Emergency Medicine 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 2012-03-21
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861093304 Ryan Garcia Military Health Care Provider 673d Med Group, Jber, AK 99501 2020-11-02
1851853048 Jordan Matthew Cate Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2019-04-05
1457810657 Mycala B Stedingh Military Health Care Provider 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 2019-03-18
1922498096 Kari Lynn Robinson Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2015-01-28
1306236591 Jordanne Marie Stover Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2015-01-27
1104234285 Kayla Baxter Military Health Care Provider 5995 Zeamer Ave, Jber, AK 99506 2014-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447850268 Ryan Rene Reyes Military Health Care Provider 1024 Nordale Rd, North Pole, AK 99705-5154 2020-10-30
1285055129 Jennifer Trout Military Health Care Provider 18226 Pioneer Dr, Eagle River, AK 99577-9331 2013-12-19
1063649234 John Michael Strothenke Military Health Care Provider 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 2009-06-16
1225272073 Landru Derek Medvec Military Health Care Provider 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 2009-04-23
1578189387 Eric Dylan Mason Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-06-18
1518586122 Amanda Nichols Military Health Care Provider 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 2020-04-14
1104393446 Matthew Gray Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2018-10-24
1912481656 Colin Michael Mullaly Military Health Care Provider 5955 Zeamer Ave, Anchorage, AK 99506-3702 2018-09-19
1780172122 Kathryn Noel Nyunt Military Health Care Provider 5955 Zeamer Ave, Anchorage, AK 99506-3702 2018-05-01
1730541038 Matthew Robert Kramer Military Health Care Provider 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 2016-03-25
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Competitor

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City JBER
Zip Code 99506

Improve Information

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Dataset Information

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.

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