CHARLES LANIER HALCOME (NPI# 1508000944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508000944 |
Entity Type | Individual |
Full Name | CHARLES LANIER HALCOME |
Other Name | CHUCK HALCOME |
Credential | IDMT, RMP |
Practice Address |
110 S Paca St Suite 300 Rm 03-028 Baltimore MD 21201-1642 |
Mailing Address |
22 South Green Street T4m14 Usaf Cstars Baltimore MD 21201 |
Practice Telephone | 4103287706 |
Practice Fax Number | 4103287549 |
Mailing Telephone | 4103287706 |
Mailing Fax Number | 4103287549 |
Enumeration Date | 2009-04-29 |
Last Update Date | 2013-10-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146L00000X | Emergency Medical Technician, Paramedic | P8021361 | Emergency Medical Service Providers | |
Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
Street Address |
110 S PACA ST SUITE 300 RM 03-028 |
City | BALTIMORE |
State | MD |
Zip Code | 21201-1642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275596520 | Anila Sarwar Bhatti | Anesthesiology | 110 S Paca St, Suite 300 6th Fl, Baltimore, MD 21201-1642 | 2006-04-08 |
1801423447 | Ali Aneizi | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-24 |
1285292946 | Debbie C Jerez | Registered Nurse | 110 S Paca St, Baltimore, MD 21201-1642 | 2019-05-29 |
1558865642 | Samantha Jane Yarmis | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201 | 2018-03-22 |
1902300643 | Samuel Li | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201 | 2018-03-19 |
1689108326 | Julio Jose Jauregui | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201-1642 | 2017-04-19 |
1902330699 | Scott Koenig II | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Department of Orthopaedics Sixth Floor, Baltimore, MD 21201-1642 | 2017-04-19 |
1952835928 | Tristan Buchanan Weir | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 300, Baltimore, MD 21201-1642 | 2017-04-17 |
1629500566 | Rohan Gopinath | Student in an Organized Health Care Education/Training Program | 110 S Paca St, Floor 6, Suite 300, Baltimore, MD 21201-1642 | 2017-03-30 |
1316478464 | Tedhar Setton | Student in an Organized Health Care Education/Training Program | 110 S Paca St, 6th Floor, Suite 200, Baltimore, MD 21201-1642 | 2017-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
Find all providers in zip 21201 |
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 |
---|---|---|---|---|
1346477031 | David Michael Smith | Military Health Care Provider | 22 S Greene St, Baltimore, MD 21201-1544 | 2009-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902406713 | Chelsey Lynch-cay | Military Health Care Provider | 4548 Longfellow St, Hyattsville, MD 20781-1927 | 2020-10-30 |
1346840162 | Quartez Ricahrdson | Military Health Care Provider | 250 American Way Apt 535, Oxon Hill, MD 20745-4536 | 2020-10-30 |
1427479815 | Shannon Renee Tedford | Military Health Care Provider | 156 Cross Point Dr, Owings, MD 20736-3322 | 2014-01-02 |
1790126225 | Richard A Reid | Military Health Care Provider | 16015 Good Meadow Ct, N Potomac, MD 20878 | 2013-07-12 |
1295016806 | Aundrea F Dyson | Military Health Care Provider | 7 Sultan Ave., Capital Heights, MD 20743 | 2011-09-09 |
1639450091 | Melissa Garcia | Military Health Care Provider | 812 Bunch Ave, Glen Burnie, MD 21060-6955 | 2011-08-30 |
1235422205 | Jason Randall Brown | Military Health Care Provider | 612 Admiral Dr Apt 404, Annapolis, MD 21401 | 2011-05-24 |
1982915187 | Stacy Coleman | Military Health Care Provider | 1002 Sherman Ct, Waldorf, MD 20602-2923 | 2010-06-23 |
1376787903 | Johnathan A Paxton | Military Health Care Provider | West Perimeter Rd Bldg 1050, Malcolm Grow Medical Center, Andrews Afb, MD 20762 | 2009-04-27 |
1083214894 | Richard Allen Ypina Jr. | Military Health Care Provider | 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | 2020-10-30 |
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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.