DARYL VISTA LUMAGUI


Address: 1 Ayres Circle, Bldg. H-1, Pnsy, Portsmouth, NH 03804
Phone: 2074382450

DARYL VISTA LUMAGUI (NPI# 1376063859) 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) 1376063859
Entity Type Individual
Full Name DARYL VISTA LUMAGUI
Credential IDC
Practice Address 1 Ayres Circle, Bldg. H-1, Pnsy
Portsmouth
NH 03804
Mailing Address 63 Moore St
Kittery
ME 03904-1371
Practice Telephone 2074382450
Mailing Telephone 3109401577
Enumeration Date 2017-06-26
Last Update Date 2019-01-03
Gender Code M
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

Provider Secondary Practice Location

Address Telephone Number Fax Number
Unit 100211 Box 1, Fpo, AP 966621100 3109401577

Office Location

Street Address 1 AYRES CIRCLE, BLDG. H-1, PNSY
City PORTSMOUTH
State NH
Zip Code 03804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558658757 Gary James Sweet Military Health Care Provider 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 2011-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750607164 Janie James Gendron Social Worker Bldg. 241, Portsmouth Naval Shipyard, Portsmouth, NH 03804 2010-04-09
1104926203 Christopher Paul Scott Military Health Care Provider 100 John Paul Jones Drive, C/o Portsmouth Naval Shipyard, Bldg 171, Portsmouth, NH 03804 2006-09-25
1396706677 Kevin Newell Keenan Preventive Medicine 1 Ayres Circle, Naval Branch Health Clinic Building H-1, Portsmouth, NH 03804 2006-03-28
1295238772 Megan Ann Caltagirone Nurse Practitioner 1 Ayres Circle, Portsmouth, NH 03804 2018-03-12
1396984381 Christine A Karcher-birt Registered Nurse 1 Ayres Circle, Naval Branch Health Clinic, Portsmouth, NH 03804 2009-02-13
1760605521 Debra Forzese Pharmacist Naval Branch Health Clinic, 1 Ayres Circle, Portsmouth, NH 03804 2007-04-10
1982613048 Jan Vanderlinde Emergency Medicine 1 Ayer Cir Bldg H1, Portsmouth, NH 03804 2006-08-07
1326080250 Kathy A Long Physician Assistant 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 2006-06-12
1831557669 Andrea Ballard Nurse Practitioner 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 2016-02-08
1508047010 James Alfred Carroll Physician Assistant One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 2007-11-27
Find all providers in zip 03804

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 city

NPI Name Taxonomy Address Enumeration
1255548491 Daniel Wayne Vanskyhawk II Military Health Care Provider 414 Concord Rd, Portsmouth, VA 23701-2231 2007-05-17
1306825344 Shannon Elizabeth Gaffney Military Health Care Provider 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 2006-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689167819 Michelle Reynolds Military Health Care Provider 14 Beechwood Rd, Hudson, NH 03051-3401 2018-06-12

Competitor

Search similar providers

City PORTSMOUTH
Zip Code 03804

Improve Information

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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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