ROONG ROBERT BURKET (NPI# 1447487749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447487749 |
| Entity Type | Individual |
| Full Name | ROONG ROBERT BURKET |
| Credential | IDMT |
| Practice Address |
347 Oss Osm Moody A F B GA 31699-0001 |
| Mailing Address |
2467 Muscogee Dr Valdosta GA 31602-5720 |
| Practice Telephone | 2292573874 |
| Mailing Telephone | 2294444540 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| 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 |
347 OSS OSM |
| City | MOODY A F B |
| State | GA |
| Zip Code | 31699-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771876 | Aldo Enrique Revilla | Psychologist | Bermiss Rd, Moody Afb, Valdosta, GA 31699 | 2017-10-13 |
| 1699903146 | Elizabeth L Fauber | Military Health Care Provider | 9551 Luke Street, Apo, AP 31699 | 2009-06-23 |
| 1063646230 | James Michael White | Military Health Care Provider | 3278 Mithell Blvd, Bldg. 900, Moody Afb, GA 31699 | 2009-05-04 |
| 1265415590 | Rosalie Andrea Castillo | Family Medicine | 347th Medical Group, 3278 Mitchell Blvd, Valdosta, GA 31699 | 2005-11-21 |
| 1902379555 | Amber Leigh Tordoff | Student in an Organized Health Care Education/Training Program | 23d Medical Group 3278 Mitchell Blvd, Building 900, Apo, AA 31699 | 2019-01-07 |
| 1083147367 | Jordan Robbins | Dentist | 23rd Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2017-04-04 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1407293418 | Clayton Lively | Psychiatry & Neurology | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2013-05-30 |
| 1174899371 | Vincent Casey Allen Jr. | Psychologist | 3278 Mitchell Blvd, Moody Afb, GA 31699 | 2012-04-01 |
| 1518364678 | Rachel Collins | Specialist/Technologist | 23 Mdos Sgoy, 3278 Mitchell Blvd, Moody Afb, GA 31699-0001 | 2014-12-04 |
| Find all providers in zip 31699 | ||||
| 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 |
|---|---|---|---|---|
| 1558596502 | Toni L Mckee | Military Health Care Provider | 7196b Savannah St, Moody A F B, GA 31699-1610 | 2009-05-20 |
| 1023242476 | Robert John Karbach II | Military Health Care Provider | 9551 Luke St, Moody A F B, GA 31699-1543 | 2009-05-13 |
| 1598909541 | Lewis Frederick Scheick | Military Health Care Provider | 23 Mdg, Moody A F B, GA 31699-0001 | 2009-04-21 |
| 1689946071 | Jason Lantz White | Military Health Care Provider | 3280 Mitchell Blvd, Moody A F B, GA 31699-1500 | 2012-02-01 |
| 1740598911 | Melissa Dionne Bridges | Military Health Care Provider | 3278 Mitchell Blvd, Moody A F B, GA 31699-1500 | 2010-09-21 |
| 1154557361 | Thomas James Allen | Military Health Care Provider | 7196b Savannah St, Moody A F B, GA 31699-1610 | 2009-06-02 |
| 1689800997 | Monica Johnson | Military Health Care Provider | 3278 Mitchell Blvd, Moody A F B, GA 31699-1500 | 2009-06-02 |
| 1902032154 | Raymond Eric Garcia | Military Health Care Provider | 7196b Savannah St, 38th Rescue Squadron, Moody A F B, GA 31699-1610 | 2009-06-02 |
| 1154556041 | Eduardo F Clemente | Military Health Care Provider | 3278 Mitchell Blvd, Moody A F B, GA 31699-1500 | 2009-05-20 |
| 1972738169 | Sasha Leigh Barker | Military Health Care Provider | 3278 Mitchell Blvd, Moody A F B, GA 31699-1500 | 2009-05-18 |
| Find all providers in MOODY A F B | ||||
| City | MOODY A F B |
| Zip Code | 31699 |
Please comment or provide details below to improve the information on ROONG ROBERT BURKET.
| 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.