EDWARD C MEDINA (NPI# 1285861211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285861211 |
| Entity Type | Individual |
| Full Name | EDWARD C MEDINA |
| Credential | IDMT |
| Practice Address |
Rr 2 Box 5425 Camp Bullis San Antonio TX 78257-0000 |
| Practice Telephone | 2102958337 |
| Practice Fax Number | 2102958191 |
| Mailing Telephone | 2102958337 |
| Mailing Fax Number | 2102958191 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |
| 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 |
|---|---|---|---|---|
| 1770525719 | Edward O Medina | Surgery | 1960 Ogden St Ste 550, Denver, CO 80218-1022 | 2006-06-12 |
| 1538624432 | Edward Medina | Nurse Practitioner | 816 S 5th St Ste B, Montrose, CO 81401-5765 | 2019-02-05 |
| 1700060647 | Edward A. Medina | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-12-27 |
| 1063600989 | Edward Martin Medina | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305 | 2007-10-04 |
| 1902010572 | Edward Medina | Social Worker | 3302 Steuben Ave, Bronx, NY 10467-2806 | 2007-05-10 |
| 1619910080 | Edward Robles Medina | Anesthesiology | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2006-06-14 |
| 1558351460 | Edward Medina | Physician Assistant | 1710 1st St, Alamosa, CO 81101-2302 | 2005-10-24 |
| Street Address |
RR 2 BOX 5425 CAMP BULLIS |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78257-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316173420 | Steven Roan Bradley | Military Health Care Provider | Rr 2 Box 5425, 343 Trs/mas Camp Bullis, San Antonio, TX 78257 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1639794464 | Gabriel Ezequiel Cantu | Behavior Technician | 21727 I-10, Unit 108, San Antonio, TX 78257 | 2020-06-08 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1386139434 | Callie D Harris | Nurse Practitioner | 22135 I-10, San Antonio, TX 78257 | 2018-06-29 |
| 1093231326 | Melissa Lauren Nguyen | Military Health Care Provider | 5425 Mc Williams Dr., Medical Aid Station Bldg 5425 Rm 104, San Antonio, TX 78257 | 2017-08-18 |
| 1902337165 | Hania Alkudmani | Dentist | 24051 W Interstate 10, San Antonio, TX 78257 | 2017-03-21 |
| 1043767569 | My Er Stcpr, Lp | Clinic/Center | 5431 North Loop 1604 West, San Antonio, TX 78257 | 2016-09-01 |
| 1649726381 | Aaron Stares | Physical Therapist | 23127 Interstate Highway 10, Suite 203, San Antonio, TX 78257 | 2016-09-01 |
| 1457700023 | Shelly Marquard | Dietitian, Registered | 22211 I-10 West, #1206, San Antonio, TX 78257 | 2016-06-06 |
| 1245695337 | Ao Iom, Pllc | Electrodiagnostic Medicine | 17503 Lacantera Parkway Suite 104 # 422, San Antonio, TX 78257 | 2015-12-16 |
| Find all providers in zip 78257 | ||||
| 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 |
|---|---|---|---|---|
| 1407453145 | Ian Frogley | Military Health Care Provider | Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 | 2020-10-06 |
| 1861099939 | Andrew Goebel | Military Health Care Provider | 1800 Truemper St, San Antonio, TX 78236-5510 | 2020-10-02 |
| 1376169086 | Colton Wayne Dickens | Military Health Care Provider | 5415 N Foster Rd Apt 8306, San Antonio, TX 78244-2405 | 2020-06-18 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1861969271 | Jose A Sanchez | Military Health Care Provider | 15425 Bobwhite Quail, San Antonio, TX 78253-6621 | 2018-10-24 |
| 1205303617 | Sean Patrick Kearns | Military Health Care Provider | 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 | 2018-10-24 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1083191159 | Chance Daren Riley | Military Health Care Provider | 8838 Dugas Dr Apt 2202, San Antonio, TX 78251-4518 | 2018-07-23 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78257 |
Please comment or provide details below to improve the information on EDWARD C MEDINA.
| 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.