ADELE J DAILEY-THOMAS (NPI# 1114489309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114489309 |
| Entity Type | Individual |
| Full Name | ADELE J DAILEY-THOMAS |
| Credential | IDMT |
| Practice Address |
755 Scott Cir Ste 559 Jbphh HI 96853-5399 |
| Practice Telephone | 8084486282 |
| Mailing Telephone | 8084486282 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| 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 |
TX | Other Service Providers |
| Street Address |
755 SCOTT CIR STE 559 |
| City | JBPHH |
| State | HI |
| Zip Code | 96853-5399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164735742 | Kathryn Reggio | Registered Nurse | 755 Scott Cir Ste 559, Jbphh, HI 96853-5399 | 2010-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467884759 | Edward Joseph Tucholski Jr. | Dentist | 15 Mdg, 755 Scott Circle, Jbphh, HI 96853 | 2013-08-08 |
| 1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
| 1205180783 | John-michael Fowler | Registered Nurse | 755 Scott Circle, Jbphh, HI 96853 | 2012-11-05 |
| 1811250442 | April A Bronowski | Physical Therapist | 755 Scott Circle, 15 Mdg, Joint Base Pearl Harbor Hickam, HI 96853 | 2012-06-19 |
| 1245557438 | Elaine Mae Davis | Dietitian, Registered | 755 Scott Cir, Jbphh, HI 96853 | 2010-04-27 |
| 1851492839 | Matthew G Hoyt | Family Medicine | 755 Scott Cir, Jbphh, HI 96853 | 2006-09-25 |
| 1609812163 | Joyce Ann Raszewski | Nurse Practitioner | 755 Scott Circle, Jbphh/hickam, HI 96853 | 2006-06-22 |
| 1720068976 | Richard Dale Quintana | Family Medicine | 15th Medical Group, Hickam Afb, Honolulu, HI 96853 | 2006-01-21 |
| 1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
| 1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
| Find all providers in zip 96853 | ||||
| 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 |
|---|---|---|---|---|
| 1477013217 | Nathan Robert Becker | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2019-03-20 |
| 1558723858 | Rossmery Aragon-leonard | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2016-03-25 |
| 1740423151 | Douglas Brook | Military Health Care Provider | 755 Scott Cir, Jbphh, HI 96853-5399 | 2009-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358939 | Kyle Luis Munoz Valdes | Military Health Care Provider | 135 Aupaka St, Honolulu, HI 96818-5422 | 2019-10-23 |
| 1356992457 | Emma Jo Ann Marquez | Military Health Care Provider | 755 Scott Circle Drive, Honolulu, HI 96818 | 2019-09-20 |
| 1730318791 | Mark P Picchione | Military Health Care Provider | 310 Worchester Ave, Bldg 45, Hickam Afb, HI 96853-5530 | 2009-07-10 |
| 1922232230 | Angela Marie Alveo-forbes | Military Health Care Provider | 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 | 2009-05-14 |
| 1912141557 | Bobby L. Woods | Military Health Care Provider | 310 Worchester Ave Bldg 45, Jpac Medical Section, Hickam Afb, HI 96853-5530 | 2009-04-27 |
| 1124262746 | John Craig Bright | Military Health Care Provider | 15mdos/sgomf 755 Scott Circle, Hickam Afb, HI 96853-3672 | 2009-04-27 |
| 1639300312 | Cameron Modisette | Military Health Care Provider | 755 Scott Cir, Hickam Afb, HI 96853-5399 | 2009-07-29 |
| 1154556280 | Rodney Valdecanas Acasio | Military Health Care Provider | 310 Worchester Ave Bldg 45, Hickam Afb, HI 96853-5530 | 2009-05-19 |
| 1982838793 | Ryan Michael Bauermeister | Military Health Care Provider | 1200 Queen Emma St, 1905, Honolulu, HI 96813-6300 | 2009-05-07 |
| 1477692143 | Kenneth A. Davis | Military Health Care Provider | 400 Sand Island Pkwy, Cgc Kukui (wlb-203), Honolulu, HI 96819-4326 | 2007-02-06 |
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| 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.