MR. JASON RANDALL BROWN (NPI# 1235422205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235422205 |
| Entity Type | Individual |
| Full Name | MR. JASON RANDALL BROWN |
| Practice Address |
612 Admiral Dr Apt 404 Annapolis MD 21401 |
| Mailing Address |
612 Admiral Dr Apt 404 Annapolis MD 21401-7531 |
| Practice Telephone | 4439958846 |
| Mailing Telephone | 4439958846 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847078 | Jason R Brown | Massage Therapist | 5545 Netherland Ave Apt 4e, Bronx, NY 10471-2339 | 2020-09-25 |
| 1932723954 | Jason Brown | Nurse Practitioner | 80593 S 4710 Rd, Stilwell, OK 74960-2288 | 2020-06-05 |
| 1073165270 | Jason Brown | Physical Medicine & Rehabilitation | 4118 Stonewick Dr, Arlington, TX 76016-3221 | 2019-07-09 |
| 1053808428 | Jason Michael Brown | Marriage & Family Therapist | 2100 N Sepulveda Blvd Ste 25, Manhattan Beach, CA 90266-2957 | 2018-04-20 |
| 1205331147 | Jason Q Brown | Home Health Aide | 111 E Gaines St, Monticello, AR 71655-4901 | 2018-03-23 |
| 1568836252 | Jason Brown | Physical Therapy Assistant | 112 Seminole Canyon Dr, Georgetown, TX 78628-7193 | 2015-11-18 |
| 1073983888 | Jason Brown | Occupational Therapy Assistant | 15761 Ne Bob Sanders Rd, Hosford, FL 32334-2639 | 2015-10-06 |
| 1437596061 | Jason Carbonell Brown | Registered Nurse | 11312 Michelle St, Cerritos, CA 90703-5500 | 2013-05-22 |
| 1285922476 | Jason Brown | Physical Therapist | 1212 W Parmer Ln, Suite E, Austin, TX 78727-4608 | 2011-07-21 |
| 1033410253 | Jason Kent Brown | Counselor | 1305 Avenue I, Sterling, IL 61081-2138 | 2010-11-04 |
| Street Address |
612 ADMIRAL DR APT 404 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| 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 |
|---|---|---|---|---|
| 1902406713 | Chelsey Lynch-cay | Military Health Care Provider | 4548 Longfellow St, Hyattsville, MD 20781-1927 | 2020-10-30 |
| 1346840162 | Quartez Ricahrdson | Military Health Care Provider | 250 American Way Apt 535, Oxon Hill, MD 20745-4536 | 2020-10-30 |
| 1427479815 | Shannon Renee Tedford | Military Health Care Provider | 156 Cross Point Dr, Owings, MD 20736-3322 | 2014-01-02 |
| 1790126225 | Richard A Reid | Military Health Care Provider | 16015 Good Meadow Ct, N Potomac, MD 20878 | 2013-07-12 |
| 1295016806 | Aundrea F Dyson | Military Health Care Provider | 7 Sultan Ave., Capital Heights, MD 20743 | 2011-09-09 |
| 1639450091 | Melissa Garcia | Military Health Care Provider | 812 Bunch Ave, Glen Burnie, MD 21060-6955 | 2011-08-30 |
| 1982915187 | Stacy Coleman | Military Health Care Provider | 1002 Sherman Ct, Waldorf, MD 20602-2923 | 2010-06-23 |
| 1376787903 | Johnathan A Paxton | Military Health Care Provider | West Perimeter Rd Bldg 1050, Malcolm Grow Medical Center, Andrews Afb, MD 20762 | 2009-04-27 |
| 1083214894 | Richard Allen Ypina Jr. | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-30 |
| 1417554577 | Meaghan Mccarthy | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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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.