MR. COLBY J BOWERS (NPI# 1497989081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497989081 |
| Entity Type | Individual |
| Full Name | MR. COLBY J BOWERS |
| Credential | IDMT |
| Practice Address |
5656 Texas Ave Fort Dix NJ 08640-5403 |
| Practice Telephone | 6097547253 |
| Mailing Telephone | 6097547253 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| 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 |
5656 TEXAS AVE |
| City | FORT DIX |
| State | NJ |
| Zip Code | 08640-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225265226 | Victor M Figueroa | Military Health Care Provider | 5656 Texas Ave, Fort Dix, NJ 08640-5403 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841428174 | Joseph Nunzio Coyle | Military Health Care Provider | 5651 Texas Ave., Fort Dix, NJ 08640 | 2009-06-25 |
| 1114128832 | Philadelphia Va Medical Center | Clinic/Center | 8th and Alabama St, Building 5437, Fort Dix, NJ 08640 | 2007-05-30 |
| 1467653501 | Scott J Winters | Registered Nurse | United States Army, Walson Army Hospital, Ft Dix, NJ 08640 | 2007-05-29 |
| 1700091147 | Kenneth Harry Schmidt | Pharmacist | 5756 Hartford Road, Fort Dix, NJ 08640 | 2007-05-11 |
| 1669692943 | Robert Antonio Cabanas | Dentist | 5755 Hartford Rd, Fci Fort Dix, Fort Dix, NJ 08640 | 2007-04-27 |
| 1063569556 | Erwin Hillard Goldrich | Dentist | 5660 Doughboy Ave, Fort Dix, NJ 08640 | 2007-01-05 |
| 1407918022 | James Richard Ross | Dentist | 5660 Doughboy Loop, Mills Dental Clinic, Fort Dix, NJ 08640 | 2006-12-14 |
| 1235212358 | John Joseph Sweeney IIi | Internal Medicine | Eighth and Alabama, Outpatient Clinic At Marshall Hall, Fort Stdix, NJ 08640 | 2006-10-23 |
| 1154421196 | Anthony Louis Capone | Social Worker | 8th Streeet Building 5437, Fort Dix, NJ 08640 | 2006-09-22 |
| 1528167970 | Keller Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 18th St and Doughboy Loop Bldg 5660, Troop Medical Health Clinic, Ft Dix, NJ 08640 | 2006-09-22 |
| Find all providers in zip 08640 | ||||
| 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 |
|---|---|---|---|---|
| 1841428174 | Joseph Nunzio Coyle | Military Health Care Provider | 5651 Texas Ave., Fort Dix, NJ 08640 | 2009-06-25 |
| 1225265226 | Victor M Figueroa | Military Health Care Provider | 5656 Texas Ave, Fort Dix, NJ 08640-5403 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306263108 | Jamal Hogan Sr. | Military Health Care Provider | 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 | 2014-03-19 |
| 1528494457 | Melissa A Wright | Military Health Care Provider | 4259d E George St, Trenton, NJ 08641-1275 | 2013-09-24 |
| 1346597994 | Terrence Asher Kneapler | Military Health Care Provider | 125 Adams Ave, Browns Mills, NJ 08015-3831 | 2012-08-13 |
| 1851646020 | Kshena Fuentes | Military Health Care Provider | 210 Canal Cir, Lumberton, NJ 08048-3108 | 2012-07-13 |
| 1871884890 | Renee Nichole Snavely | Military Health Care Provider | 3903a Spaatz Dr, Trenton, NJ 08641-1629 | 2011-04-25 |
| 1043440001 | Tamilynn Reese | Military Health Care Provider | 54 Village Dr, Barnegat, NJ 08005-1671 | 2009-07-23 |
| 1457581704 | Jesus Octavio Amador | Military Health Care Provider | 2305 Saxony Dr, Mount Laurel, NJ 08054-6806 | 2009-07-21 |
| 1760617088 | Matthew Thompson | Military Health Care Provider | 84 Dawn Dr, Mount Holly, NJ 08060-1905 | 2009-05-18 |
| 1659505030 | Kimberley Dawn Bock Tabor | Military Health Care Provider | 3453 Neely Rd, Mcguire Afb, NJ 08641 | 2009-05-13 |
| 1669022125 | Kevin Eustace | Military Health Care Provider | 1 Essex Ln, Old Bridge, NJ 08857-1406 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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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.