MS. MYCALA B STEDINGH (NPI# 1457810657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457810657 |
| Entity Type | Individual |
| Full Name | MS. MYCALA B STEDINGH |
| Credential | IDMT |
| Practice Address |
673 Mdg 5955 Zeamer Ave Jber AK 99506 |
| Mailing Address |
18554 Walrus Cir Eagle River AK 99577-8615 |
| Practice Telephone | 9075517662 |
| Mailing Telephone | 9074408209 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-04-17 |
| Gender Code | F |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6973 Zuckert Ave., Anchorage, AK 99506 | 9075517662 |
| Street Address |
673 MDG 5955 ZEAMER AVE |
| City | JBER |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296694 | John Francis Forbes | Psychiatry & Neurology | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506-9950 | 2005-09-27 |
| 1053918177 | Maylin Hill Taylor | Nurse Practitioner | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2020-10-01 |
| 1750994836 | Anne Ly | Pharmacist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2020-08-28 |
| 1811522154 | Rashawna J Spaights-nunley | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2020-03-06 |
| 1225688518 | Nicole Lynn Spesard Langfield | Nurse Practitioner | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2019-09-18 |
| 1174179758 | Katelyn Sophia Lowery | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2019-08-10 |
| 1881252500 | Jamie Lea Briske | Physical Therapist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2019-05-29 |
| 1962908699 | Paula Denise Fowler | Social Worker | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2018-04-02 |
| 1083090468 | Sherry D. Carter | Physician Assistant | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2015-08-07 |
| 1891173746 | Traci Vasquez | Physical Therapist | 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | 2015-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
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| 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 |
|---|---|---|---|---|
| 1861093304 | Ryan Garcia | Military Health Care Provider | 673d Med Group, Jber, AK 99501 | 2020-11-02 |
| 1851853048 | Jordan Matthew Cate | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-04-05 |
| 1104303320 | Luis Baltazar Baptista | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-07-20 |
| 1922498096 | Kari Lynn Robinson | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2015-01-28 |
| 1306236591 | Jordanne Marie Stover | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2015-01-27 |
| 1104234285 | Kayla Baxter | Military Health Care Provider | 5995 Zeamer Ave, Jber, AK 99506 | 2014-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850268 | Ryan Rene Reyes | Military Health Care Provider | 1024 Nordale Rd, North Pole, AK 99705-5154 | 2020-10-30 |
| 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 |
| 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 |
| 1780172122 | Kathryn Noel Nyunt | Military Health Care Provider | 5955 Zeamer Ave, Anchorage, AK 99506-3702 | 2018-05-01 |
| 1730541038 | Matthew Robert Kramer | Military Health Care Provider | 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 | 2016-03-25 |
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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.