MR. SCOTT DAVID ARNOLD


Address: 320 Dewey Ave Ste A, Naval Special Warfare Preparatory School Bldg 322, Great Lakes, IL 60088-2911
Phone: 8476886201

MR. SCOTT DAVID ARNOLD (NPI# 1497917876) 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) 1497917876
Entity Type Individual
Full Name MR. SCOTT DAVID ARNOLD
Practice Address 320 Dewey Ave Ste A
Naval Special Warfare Preparatory School Bldg 322
Great Lakes
IL 60088-2911
Practice Telephone 8476886201
Practice Fax Number 8476886140
Mailing Telephone 8476886201
Mailing Fax Number 8476886140
Enumeration Date 2008-06-27
Last Update Date 2010-04-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

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1467476358 Scott Arnold Internal Medicine 850 5th Ave E, Tuscaloosa, AL 35401-7419 2006-07-26
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Office Location

Street Address 320 DEWEY AVE STE A
NAVAL SPECIAL WARFARE PREPARATORY SCHOOL BLDG 322
City GREAT LAKES
State IL
Zip Code 60088-2911

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043858228 Kathryn Ann Bird Dentist 3440 W Ohio St, Uss Osborne Branch Dental Clinic, Great Lakes, IL 60088 2019-12-18
1740775576 Jonathan William Criter Dentist 3400 Ohio St, Great Lakes, IL 60088 2018-06-25
1134598733 True Xiong Dentist Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 2015-09-24
1447685771 Lisa Carol Perrone Dentist Fhcc Lovell Bldg 237 Dental, Navsta Great Lakes, North Chicago, IL 60088 2013-09-05
1437438421 David Lawrence Green Dentist 2410 Samson St., Bldg 237, Great Lakes, IL 60088 2011-08-09
1164730602 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois Street, Great Lakes, IL 60088 2010-09-17
1598073439 James A Lovell Federal Health Care Center Military/U.S. Coast Guard Pharmacy 2430 Illinois St, Bldg 1007, Great Lakes, IL 60088 2010-09-14
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1083943906 James Doll Dentist 2608 Paul Jones St, Great Lakes, IL 60088 2009-12-24
1396996823 Kelly Robert Lanning Dentist 3001 A 6th St Bhc 237, Naval Hospital Great Lakes- Dental Dept., Great Lakes, IL 60088 2008-10-02
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215333299 Jonathan Ramonbeebe Military Health Care Provider 3694 Minnesota Ave Apt D, Great Lakes, IL 60088-1714 2014-11-18
1164736302 Clinton Lariscy Military Health Care Provider 3355 Illinois St, Recruit Training Command Great Lakes, Great Lakes, IL 60088 2010-07-29
1184883688 Michael Paul Coffman Military Health Care Provider 601 D Street, Great Lakes, IL 60088-2822 2008-06-09
1184809048 Rodolfo Pineda Manansala Military Health Care Provider 601 D St Bldg 130-h, Great Lakes, IL 60088-2822 2008-01-09
1346454808 Joseph Thomas Minich Military Health Care Provider 2410 Sampson St Bldg 237, Great Lakes, IL 60088-2942 2007-05-10
1679786057 James R Butts Military Health Care Provider 329 Dewy Ave, Great Lakes, IL 60088 2007-05-08
1205891256 Jose Alfredo Nicola Military Health Care Provider Naval Health Clininc Great Lakes, Branch Medical Clinic 1007 Uss Tranquility, Great Lakes, IL 60088 2006-04-20
1205804242 Rodger M Howard Military Health Care Provider 3420 Illinois Street Bldg 1007, Great Lakes, IL 60088 2006-03-08
1144588039 Luis Victor Fernandez Military Health Care Provider 2410 Sampson St, Great Lakes, IL 60088-2942 2012-04-27
1699046482 James Albert Shumaker Sr. Military Health Care Provider 2430 Illinois Street, 1007 Uss Tranquillity, Great Lakes, IL 60088-4209 2012-01-25
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Competitor

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City GREAT LAKES
Zip Code 60088

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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