MR. MICHAEL IVAN ARNOLD (NPI# 1265691554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265691554 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL IVAN ARNOLD |
| Credential | IDC |
| Practice Address |
328 W Biros Ln Round Lake IL 60073-5607 |
| Mailing Address |
115 New Castle Dr Jacksonville NC 28540-4118 |
| Practice Telephone | 7608056207 |
| Mailing Telephone | 7608056207 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-07-19 |
| 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 |
|---|---|---|---|---|
| 1700300498 | Michael Jay Arnold | Dentist | 3024 Il-159, Glen Carbon, IL 62034 | 2017-08-03 |
| 1568771020 | Michael R. Arnold | Physical Therapist | 8000 Douglas Ave, Urbandale, IA 50322-2450 | 2010-10-01 |
| 1730214693 | Michael C Arnold | Dentist | 12300 Twinbrook Pkwy, Suite 150, Rockville, MD 20852-1606 | 2007-02-22 |
| 1548346273 | Michael W. Arnold | Chiropractor | 2239 E Kearney St, Springfield, MO 65803-4987 | 2006-10-27 |
| 1487698205 | Michael L Arnold | Chiropractor | 1005 Mono Way, Sonora, CA 95370 | 2006-06-15 |
| 1043278740 | Michael Joseph Arnold | Physical Therapist | 251 Saddle Drive, Helena, MT 59601 | 2006-05-02 |
| 1831160118 | Michael F Arnold | Dentist | 4950 E Stop 11 Rd, Suite A, Indianapolis, IN 46237-9100 | 2006-01-27 |
| 1063404135 | Michael Charles Arnold | Counselor | 12035 Q St, Omaha, NE 68137-3542 | 2005-08-16 |
| 1750918207 | Michael J Arnold | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2020-03-25 |
| 1578119814 | Michael John Arnold | Counselor | 115 Broadway Ste 1800, New York, NY 10006-1652 | 2019-08-13 |
| Street Address |
328 W BIROS LN |
| City | ROUND LAKE |
| State | IL |
| Zip Code | 60073-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| 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 |
|---|---|---|---|---|
| 1013315068 | Rene Garcia Cantu Jr. | Military Health Care Provider | Captain James A. Lovell Federal Health Care Center, 3001 Green Bay Road, North Chicago, IL 60064 | 2014-12-08 |
| 1215333299 | Jonathan Ramonbeebe | Military Health Care Provider | 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 | 2014-11-18 |
| 1316340615 | Kevin Thomas | Military Health Care Provider | 1126 Furlong Dr, Libertyville, IL 60048-3701 | 2014-09-30 |
| 1306255641 | Brent Thomas Graceffa | Military Health Care Provider | 107 Strawbridge Dr, Rockton, IL 61072-2957 | 2014-08-12 |
| 1194148304 | Steven Flannagan | Military Health Care Provider | 420 Heatherwood Dr, Oswego, IL 60543-7587 | 2014-01-23 |
| 1093158792 | Erik Lee Myers | Military Health Care Provider | Capt James A Lovell Fhcc, North Chicago, IL 60088-8980 | 2013-04-11 |
| 1164736302 | Clinton Lariscy | Military Health Care Provider | 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 | 2010-07-29 |
| 1497917876 | Scott David Arnold | Military Health Care Provider | 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911 | 2008-06-27 |
| 1184883688 | Michael Paul Coffman | Military Health Care Provider | 601 D Street, Great Lakes, IL 60088-2822 | 2008-06-09 |
| 1184809048 | Rodolfo Pineda Manansala | Military Health Care Provider | 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 | 2008-01-09 |
| Find all providers with the same taxonomy | ||||
| City | ROUND LAKE |
| Zip Code | 60073 |
Please comment or provide details below to improve the information on MR. MICHAEL IVAN ARNOLD.
| 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.