MR. JOHN CHARLES AVERELL (NPI# 1255589784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255589784 |
| Entity Type | Individual |
| Full Name | MR. JOHN CHARLES AVERELL |
| Credential | IDC |
| Practice Address |
Naval Medical Center San Diego Bldg 14 Apo AP 92134 |
| Mailing Address |
1298 Fools Gold Way #2 Chula Vista CA 91913 |
| Practice Telephone | 6195325110 |
| Mailing Telephone | 6195325110 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| 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 |
| Street Address |
NAVAL MEDICAL CENTER SAN DIEGO BLDG 14 |
| City | APO |
| State | AP |
| Zip Code | 92134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366788119 | Erin Shari Bailey | Dentist | Naval Medical Center San Diego, Apo, AA 92134 | 2012-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| 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 |
|---|---|---|---|---|
| 1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
| 1720624992 | Joshua Marcus Kuepper | Military Health Care Provider | 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 | 2019-11-22 |
| 1568929636 | Rory Joseph Farrell | Military Health Care Provider | Camp Pendleton, Apo, AA 00000 | 2019-02-26 |
| 1063938967 | Scott Thomas Sears | Military Health Care Provider | 1st Marine Logistics Group, Medical Battalion, Apo, AP 92055 | 2017-08-22 |
| 1497275515 | Scott Francis Rosenfield | Military Health Care Provider | Naval Special Warfare Unit Two, Unit 30401, Apo, AE 09107-0401 | 2017-06-20 |
| 1982000550 | Eric Haynes | Military Health Care Provider | Psc Box 20116 Camp Lejeune, Apo, AA 28542-0073 | 2014-11-10 |
| 1477957454 | Charles Edward East Jr. | Military Health Care Provider | 6th Marine Regiment, Apo, AE 28542 | 2014-10-20 |
| 1497168629 | Joseph Thomas | Military Health Care Provider | Us Naval Hospital Okinawa Camp Foster, Psc 482, Apo, AP 96362-1600 | 2014-06-05 |
| 1619220357 | Joezette Denise Julien | Military Health Care Provider | 357140, Maritime Expeditionary Security Squadron Three Medical, Apo, AP 92135-7140 | 2012-10-18 |
| 1871870022 | Ken Samuel Conklin | Military Health Care Provider | Psc Box 20073, Camp Lejeune, Nc, Apo, AA 28542-0073 | 2011-11-15 |
| Find all providers in APO | ||||
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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.