MR. MATTHEW ALEXANDER OLDHAM (NPI# 1164895322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164895322 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW ALEXANDER OLDHAM |
| Credential | IDC |
| Practice Address |
Psc 561 Box 1877 Bldg #111 Fpo AP 96310-0019 |
| Practice Telephone | 08030023769 |
| Mailing Telephone | 08030023769 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| 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 |
|---|---|---|---|---|
| 1992218689 | Matthew Curtis Oldham | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Building 301 Andrews Ave, Fort Rucker, AL 36362-5333 | 2017-11-16 |
| Street Address |
PSC 561 BOX 1877 BLDG #111 |
| City | FPO |
| State | AP |
| Zip Code | 96310-0019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790763712 | Meghan Joy Cregan | Family Medicine | Psc 561 Box 1877, Fpo, AP 96310 | 2006-01-09 |
| 1780008193 | Heather Babcock | Social Worker | Psc 561 Box 1877, Fpo, AP 96310-0016 | 2014-02-06 |
| 1255688081 | Laura Stephenson | Audiologist | Psc 561 Box 1877, Fpo, AP 96310-0019 | 2012-08-10 |
| 1578821120 | Barbara Charlotte Bentley | Social Worker | Psc 561 Box 1877, Fpo, AP 96310-0019 | 2012-05-01 |
| 1306046727 | Branch Medical Clinic Iwakuni | Military Hospital | Psc 561 Box 1877, Fpo, AP 96310 | 2007-07-24 |
| 1043281132 | Holly Eun Hee Gangwer | Speech-Language Pathologist | Psc 561 Box 1877, Fpo, AP 96310 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902469166 | Paige Larae Millman | Speech-Language Pathologist | 242-a Cabot Circle, Mcas Iwakuni, Fpo, AP 96310 | 2019-04-15 |
| 1477028801 | Lawrence D Leduff IIi | Nurse Practitioner | Navy Family Branch Clinic Iwakuni, Building 110, Fpo, AP 96310 | 2018-10-12 |
| 1467882217 | Michelle Hall | Nurse Practitioner | Branch Health Clinic Iwakuni Japan, Psc 561, Box 1877, Fpo, AP 96310 | 2013-11-14 |
| 1053640177 | Timothy E Harmon | Physician Assistant | Navy Branch Health Clinic Iwakuni Japan, Psc 561 Box 1877, Iwakuni, JAPAN 96310 | 2009-12-19 |
| 1518105832 | Walter John Kelly Jr. | Social Worker | Psc 561 Box 1328, Fpo, AP 96310 | 2009-01-23 |
| 1265614069 | Jeramy D Sawyers | Physician Assistant | Marine Corps Air Station Iwakuni, Japan, Branch Health Clinic, Fpo, AP 96310 | 2007-12-04 |
| 1952433245 | Pamela L Keup | Speech-Language Pathologist | Psc 561 Box 1546, Fpo, AP 96310 | 2007-03-12 |
| 1215905369 | Joven Marquez Zano | Military Health Care Provider | Psc 561 Box 1001, Fpo Ap 96310, Iwakuni, YAMAGUCHI 96310 | 2006-03-14 |
| 1104802776 | Daniel Houlihan | Occupational Therapist | Branch Medical Clinic / Edis, Psc 561 Box 1877, Fpo, AP 96310 | 2005-12-15 |
| 1154306041 | Phillip James Hanson | Physical Therapist | Psc 561 Box 1447, Fpo, AP 96310 | 2005-12-13 |
| Find all providers in zip 96310 | ||||
| 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 |
|---|---|---|---|---|
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1639701634 | Stephen Henderson | Military Health Care Provider | 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 | 2020-02-07 |
| 1649810219 | Maxwell Onyedikachi Osisioma | Military Health Care Provider | Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 | 2020-01-13 |
| 1508406273 | Daniel Levin | Military Health Care Provider | 3d Recon Bn Aid Station, Fpo, AP 96389-6189 | 2020-01-10 |
| 1053955609 | Christopher Zartman | Military Health Care Provider | Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 | 2019-11-06 |
| 1912553975 | Brandon Joseph Dapper | Military Health Care Provider | Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 | 2019-08-15 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| Find all providers in FPO | ||||
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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.