MR. RODNEY VALDECANAS ACASIO


Address: 310 Worchester Ave Bldg 45, Hickam Afb, HI 96853-5530
Phone: 8084744959

MR. RODNEY VALDECANAS ACASIO (NPI# 1154556280) 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) 1154556280
Entity Type Individual
Full Name MR. RODNEY VALDECANAS ACASIO
Credential IDMT
Practice Address 310 Worchester Ave Bldg 45
Hickam Afb
HI 96853-5530
Mailing Address 111 Kopiko St.
Honolulu
HI 96818-5429
Practice Telephone 8084744959
Practice Fax Number 8084744880
Mailing Telephone 8084744959
Mailing Fax Number 8084744880
Enumeration Date 2009-05-19
Last Update Date 2009-05-19
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

Office Location

Street Address 310 WORCHESTER AVE BLDG 45
City HICKAM AFB
State HI
Zip Code 96853-5530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912141557 Bobby L. Woods Military Health Care Provider 310 Worchester Ave Bldg 45, Jpac Medical Section, Hickam Afb, HI 96853-5530 2009-04-27

Providers in the same zip code

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 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
1730318791 Mark P Picchione Military Health Care Provider 310 Worchester Ave, Bldg 45, Hickam Afb, HI 96853-5530 2009-07-10
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

Providers in the same taxonomy and state

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
1922232230 Angela Marie Alveo-forbes Military Health Care Provider 375 Mamiya St, Bldg 2140, Hickam Ab, HI 96853 2009-05-14
1114489309 Adele J Dailey-thomas Military Health Care Provider 755 Scott Cir Ste 559, Jbphh, HI 96853-5399 2019-04-05
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
1982838793 Ryan Michael Bauermeister Military Health Care Provider 1200 Queen Emma St, 1905, Honolulu, HI 96813-6300 2009-05-07
1740423151 Douglas Brook Military Health Care Provider 755 Scott Cir, Jbphh, HI 96853-5399 2009-04-15
1477692143 Kenneth A. Davis Military Health Care Provider 400 Sand Island Pkwy, Cgc Kukui (wlb-203), Honolulu, HI 96819-4326 2007-02-06
1487678926 Robin Michelle Ward Military Health Care Provider 480 Central Ave, Pearl Harbor, HI 96860-4908 2006-07-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City HICKAM AFB
Zip Code 96853

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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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