SETH LEE STUCKER (NPI# 1417228933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417228933 |
| Entity Type | Individual |
| Full Name | SETH LEE STUCKER |
| Credential | IDMT |
| Practice Address |
6732 Ramsgate Road Chittenango NY 13037 |
| Practice Telephone | 2102388144 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| 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 |
| Street Address |
6732 RAMSGATE ROAD |
| City | CHITTENANGO |
| State | NY |
| Zip Code | 13037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821506486 | Randee Ann Mccormick | Licensed Practical Nurse | 112 S. Berkey Drive, Chittenango, NY 13037 | 2018-01-17 |
| 1154877785 | Sean Laubenstein | Physical Therapist | 3198 Route 5 West, Chittenango, NY 13037 | 2016-09-01 |
| 1326411224 | Nicole Mastrangelo | Pharmacist | Kinney Drugs, 540 E. Genesee St., Chittenango, NY 13037 | 2015-11-02 |
| 1861736357 | Bridget A Frio Od | Optometrist | 303 Genesee Street, Chittenango, NY 13037 | 2012-11-21 |
| 1376868257 | Meredith Corbett Albert | Physical Therapist | 1398 Route 5 West, Chittenango, NY 13037 | 2010-04-02 |
| 1679709877 | Sylvia B. Brodhead | Registered Nurse | 2277 Osborne Road, Chittenango, NY 13037 | 2009-06-03 |
| 1932279932 | Chittenango Dental | Dentist | 153 West Genesee Street, Chittenango, NY 13037 | 2006-11-08 |
| 1831206010 | Kph Healthcare Services, Inc. | Pharmacy | 540 Genesee St., Chittenango, NY 13037 | 2006-08-24 |
| 1619940756 | Daniel G Kingsley | Physical Therapist | 1398 Route 5 W, Chittenango, NY 13037 | 2006-02-09 |
| 1760452544 | Amy L Lazzarini | Internal Medicine | 1386 State Route 5 West Suite 203, Chittenango, NY 13037 | 2006-01-25 |
| Find all providers in zip 13037 | ||||
| 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 |
|---|---|---|---|---|
| 1659689826 | Phillip Nelson Snell | Military Health Care Provider | 1192 Wyncoop Creek Rd, Chemung, NY 14825-9711 | 2010-09-21 |
| 1831329721 | Donald Edgar Trzepacz Jr. | Military Health Care Provider | 9905 Blewett Ave, Niagara Falls, NY 14304-6003 | 2009-07-26 |
| City | CHITTENANGO |
| Zip Code | 13037 |
Please comment or provide details below to improve the information on SETH LEE STUCKER.
| 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.