KEOSHIA S COLEMAN


Address: 6941 Florence Blvd, Omaha, NE 68112-3413
Phone: 7575973390

KEOSHIA S COLEMAN (NPI# 1295026219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295026219
Entity Type Individual
Full Name KEOSHIA S COLEMAN
Credential IDMT
Practice Address 6941 Florence Blvd
Omaha
NE 68112-3413
Practice Telephone 7575973390
Mailing Telephone 7575973390
Enumeration Date 2011-04-25
Last Update Date 2011-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 6941 FLORENCE BLVD
City OMAHA
State NE
Zip Code 68112-3413

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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457697872 Maria G Wiest Military Health Care Provider 12222 S 25th Ave, Bellevue, NE 68123-1865 2012-12-13
1679829220 Ryan Thomas Rubino Military Health Care Provider 12102 Larson Cir, Bellevue, NE 68123-1680 2012-08-01
1245536994 Aaron Bradley Smith Military Health Care Provider Ehrling Bergquist Clinic, 2501 Capehart Rd, Offutt Afb, NE 68113 2011-01-28
1720302557 Alicia Michelle Chavez Military Health Care Provider 705 Donegal Dr, Papillion, NE 68046-2133 2010-03-23
1366901738 Taten Brent Swanson Military Health Care Provider 2501 Capehart Rd, Offutt Afb, NE 68113-1043 2019-03-15
1235402165 Rachel Belden Military Health Care Provider 105 Grant Cir Ste 133, Offutt A F B, NE 68113-4041 2012-02-23
1427355866 Andrea Jefferson Military Health Care Provider 2501 Capehart Rd, Offutt A F B, NE 68113-1043 2011-02-22
1255561973 Karolyn A Harris Military Health Care Provider 105 Grant Cir, Ste 133, Offutt A F B, NE 68113-2087 2009-07-15
1790912608 Brian David Cooprider Military Health Care Provider 2501 Capehart Road, Bellevue, NE 68113-2160 2009-06-18
1669608774 Charles Curtis Ruggles Military Health Care Provider 105 Grant Cir, Bldg 527, Suite 133, Offutt A F B, NE 68113-4041 2009-06-03
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City OMAHA
Zip Code 68112

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Dataset Information

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.

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