RYAN RENE REYES


Address: 1024 Nordale Rd, North Pole, AK 99705-5154
Phone: 9076512883

RYAN RENE REYES (NPI# 1447850268) 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) 1447850268
Entity Type Individual
Full Name RYAN RENE REYES
Practice Address 1024 Nordale Rd
North Pole
AK 99705-5154
Practice Telephone 9076512883
Mailing Telephone 9076512883
Enumeration Date 2020-10-30
Last Update Date 2020-10-30
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

Other Providers RYAN REYES

NPI Name Taxonomy Address Enumeration
1992160121 Ryan Eduardo Reyes Specialist/Technologist, Other 2655 1st St Ste 250, Simi Valley, CA 93065-1574 2015-12-14
1043513351 Ryan Douglas Reyes Dentist 4778 Muir Ave, San Diego, CA 92107-2218 2010-12-08
1881835858 Ryan Reyes Physical Therapist 436 Via Quinto, Walnut, CA 91789-1629 2009-03-20
1609321819 Ryan Noel Reyes Dentist 8725 Marbach Rd, #201, San Antonio, TX 78227-2376 2016-08-17
1558602300 Ryan Reyes Pharmacist 520 Convery Blvd, Perth Amboy, NJ 08861-3021 2013-03-04

Office Location

Street Address 1024 NORDALE RD
City NORTH POLE
State AK
Zip Code 99705-5154

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225508815 Madison Grove Behavioral Analyst 203 S. Santa Claus Lane, North Pole, AK 99705 2018-11-27
1104393123 Jessica Marie Childress Behavioral Analyst 203 Santa Clause, North Pole, AK 99705 2018-10-29
1346722279 Kimberly Shriner Student in an Organized Health Care Education/Training Program 1970 Hollowell Rd, North Pole, AK 99705 2018-09-06
1780108993 Tracy Norris Behavior Technician 1000 Borda St., North Pole, AK 99705 2017-07-29
1912134420 Donald Jermome Kosatka Psychiatry & Neurology Building 4066 602nd Street, Bassett Army Community Hospital, Fort Wainwright, AK 99705 2009-06-11
1174796247 Monique Dase Smith Psychiatry & Neurology 1650 Cowles St., Fairbanks, AK 99705 2008-04-09
1376742494 Vicki Elaine Readnour Physical Therapist 167-b Santa Claus Lane, North Pole, AK 99705 2007-07-18
1114091527 Helyn M Lefgren Family Medicine 145 Santa Claus Lane, North Pole, AK 99705 2006-11-17
1174695803 Eric P Buetow Dentist 2933 Horseshoe Way, North Pole, AK 99705 2006-11-15
1770578296 North Pole Prescription Laboratory Inc Pharmacy 167 Santa Claus Lane, North Pole, AK 99705 2005-09-12
Find all providers in zip 99705

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
1861093304 Ryan Garcia Military Health Care Provider 673d Med Group, Jber, AK 99501 2020-11-02
1285055129 Jennifer Trout Military Health Care Provider 18226 Pioneer Dr, Eagle River, AK 99577-9331 2013-12-19
1063649234 John Michael Strothenke Military Health Care Provider 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 2009-06-16
1225272073 Landru Derek Medvec Military Health Care Provider 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 2009-04-23
1578189387 Eric Dylan Mason Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-06-18
1518586122 Amanda Nichols Military Health Care Provider 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 2020-04-14
1851853048 Jordan Matthew Cate Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2019-04-05
1457810657 Mycala B Stedingh Military Health Care Provider 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 2019-03-18
1104393446 Matthew Gray Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2018-10-24
1912481656 Colin Michael Mullaly Military Health Care Provider 5955 Zeamer Ave, Anchorage, AK 99506-3702 2018-09-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City NORTH POLE
Zip Code 99705

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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