MR. JOHN WAYNE RISTER (NPI# 1114161999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114161999 |
| Entity Type | Individual |
| Full Name | MR. JOHN WAYNE RISTER |
| Credential | IDMT |
| Practice Address |
1220 Truemper St Bldg 9225, Suite 1, Room 323 Lackland A F B TX 78236-5568 |
| Practice Telephone | 2106718317 |
| Mailing Telephone | 2106718317 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2011-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
1220 TRUEMPER ST BLDG 9225, SUITE 1, ROOM 323 |
| City | LACKLAND A F B |
| State | TX |
| Zip Code | 78236-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972737971 | Ian E Coon | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-05-06 |
| 1467798884 | James W Parry | Military Health Care Provider | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-12-13 |
| 1396029559 | Daniel Sung Oh | Military Health Care Provider | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2011-10-06 |
| 1740417013 | Steven J Lester | Military Health Care Provider | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2009-06-15 |
| 1063648012 | Thomas Nolan Rhodes | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-04 |
| 1083840037 | Don Coughlin | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-04 |
| 1245466341 | Jose L Obregon | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-03 |
| 1578799706 | Herbert Lee Andrews II | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-02 |
| 1063648210 | Bernadette Ann Vanness | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-02 |
| 1043446396 | Monica Theresa Suter | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-01 |
| Find all providers in LACKLAND A F B | ||||
| City | LACKLAND A F B |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on MR. JOHN WAYNE RISTER.
| 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.