MR. DANIEL SUNG OH (NPI# 1396029559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396029559 |
| Entity Type | Individual |
| Full Name | MR. DANIEL SUNG OH |
| Credential | IDMT |
| Practice Address |
2200 Bergquist Dr Ste 1 Lackland A F B TX 78236-9908 |
| Mailing Address |
135 Fontana Albero San Antonio TX 78253-5579 |
| Practice Telephone | 2102926546 |
| Mailing Telephone | 2102840959 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| 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 |
|---|---|---|---|---|
| 1558978254 | Daniel Jimyong Oh | Pharmacist | 947 S Hoover St Apt 203, Los Angeles, CA 90006-1932 | 2020-09-26 |
| 1942651070 | Daniel T Oh | Emergency Medicine | 112 Bay 35th St, Brooklyn, NY 11214-5308 | 2016-06-30 |
| 1689073041 | Daniel Oh | Dentist | 801 S Paulina St Rm 304g, Chicago, IL 60612 | 2014-08-21 |
| 1962823971 | Daniel Young Oh | Acupuncturist | 6073 North First St., Suite #101, Fresno, CA 93710 | 2013-12-17 |
| 1962599597 | Daniel Youngchul Oh | Dentist | 512 W 17th St, Santa Ana, CA 92706-3678 | 2006-10-06 |
| 1598719288 | Daniel Shin Oh | Dentist | 4827 N Kedzie Ave, Chicago, IL 60625-5206 | 2006-05-19 |
| 1891790614 | Daniel Oh | Surgery | 316 S Stratford Ave, Suite C, Santa Maria, CA 93454-5908 | 2005-06-17 |
| 1861997637 | Daniel Minsuk Oh | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2018-03-26 |
| 1326550690 | Daniel Hyung-sok Oh | Pharmacist | 615 Broadway, Millbrae, CA 94030-1909 | 2017-10-26 |
| 1225567639 | Daniel Young Oh | Pharmacist | 14130 Culver Dr, Suite D, Irvine, CA 92604 | 2017-06-08 |
| Street Address |
2200 BERGQUIST DR STE 1 |
| City | LACKLAND A F B |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467891366 | Samantha Luanne Guy | Physician Assistant | 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 | 2013-06-24 |
| 1427492545 | Oscar Escano | General Practice | 2200 Bergquist Dr Ste 1, 59 Mhs/sgowv1, Lackland A F B, TX 78236-9908 | 2013-04-19 |
| 1881935112 | J T Floyd | Physician Assistant | 2200 Bergquist Dr Ste 1, Attn: Credentials (sghc), Lackland A F B, TX 78236-9908 | 2013-03-12 |
| 1144583352 | Cleann Toner | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2012-06-21 |
| 1417223561 | Nancy Vogelgesang | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2012-03-22 |
| 1295011641 | Stephen Garrett Ray | Nurse Practitioner | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2011-10-31 |
| 1184919763 | Marley Cranford Smith | Case Manager/Care Coordinator | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2011-06-13 |
| 1770881633 | Jennifer B Gillespie | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr Ste 1, Lackland A F B, TX 78236-9908 | 2011-03-02 |
| 1972804540 | Nilofer N Pervez Arthur | Pharmacist | 2200 Bergquist Dr Ste 1, Lackland Air Force Base, Lackland A F B, TX 78236-9908 | 2010-11-12 |
| 1316256746 | Kathleen R Rodriguez | Nurse Practitioner | 2200 Bergquist Dr Ste 1, Attn: Credentials (cmc), Lackland A F B, TX 78236-9908 | 2010-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| 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 |
|---|---|---|---|---|
| 1972737971 | Ian E Coon | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-05-06 |
| 1114161999 | John Wayne Rister | Military Health Care Provider | 1220 Truemper St, Bldg 9225, Suite 1, Room 323, Lackland A F B, TX 78236-5568 | 2009-04-24 |
| 1467798884 | James W Parry | Military Health Care Provider | 2200 Bergquist Dr, Lackland A F B, TX 78236-9907 | 2012-12-13 |
| 1740417013 | Steven J Lester | Military Health Care Provider | 2200 Bergquist Dr, Suite 1, Lackland A F B, TX 78236-9907 | 2009-06-15 |
| 1063648012 | Thomas Nolan Rhodes | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-04 |
| 1083840037 | Don Coughlin | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-04 |
| 1245466341 | Jose L Obregon | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-03 |
| 1578799706 | Herbert Lee Andrews II | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-02 |
| 1063648210 | Bernadette Ann Vanness | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-02 |
| 1043446396 | Monica Theresa Suter | Military Health Care Provider | 1618 Truemper St, Lackland A F B, TX 78236-5511 | 2009-06-01 |
| Find all providers in LACKLAND A F B | ||||
| City | LACKLAND A F B |
| Zip Code | 78236 |
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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.