DAVE ALAN LEWIS (NPI# 1548495609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548495609 |
| Entity Type | Individual |
| Full Name | DAVE ALAN LEWIS |
| Credential | IDMT |
| Practice Address |
14793 W Corsair St Luke Afb AZ 85309-1602 |
| Mailing Address |
12605 W Sheridan St Avondale AZ 85392-6552 |
| Practice Telephone | 6238567340 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| 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 |
14793 W CORSAIR ST |
| City | LUKE AFB |
| State | AZ |
| Zip Code | 85309-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
| 1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
| 1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
| 1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
| 1679676571 | Anita Glenn-reller | Counselor | 317 Lightning Ave, Luke Afb, AZ 85309 | 2006-09-06 |
| 1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
| 1902162258 | Joshua Lemoyne Pringle | Surgery | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2012-04-11 |
| Find all providers in zip 85309 | ||||
| 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 |
|---|---|---|---|---|
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1881912202 | Nora P Lerne | Military Health Care Provider | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2010-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657828 | Casey Mulcahy | Military Health Care Provider | 2748 N 60th St, Scottsdale, AZ 85257-1012 | 2020-04-13 |
| 1194375667 | Nathan Andrew Lawson | Military Health Care Provider | 2336 E Libra Pl, Chandler, AZ 85249-3790 | 2019-09-17 |
| 1043787450 | Dustin Alford | Military Health Care Provider | 4280 E Burnsey Ln, Kingman, AZ 86401-5595 | 2018-10-24 |
| 1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
| 1891118774 | Vianca Mendoza | Military Health Care Provider | 17714 W Desert Ln, Surprise, AZ 85388-1714 | 2014-01-28 |
| 1831449180 | Ronald John Borgstrom II | Military Health Care Provider | 15053 W Mulberry Dr, Goodyear, AZ 85395-8846 | 2012-09-13 |
| 1821358102 | Ngu Quang Do | Military Health Care Provider | 407 Campbell St, Prescott, AZ 86301-2518 | 2012-05-21 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1235433756 | Esmat Marie Sabbagh | Military Health Care Provider | 5020 E Arizola St, Davis Monthan Afb, AZ 85707-3108 | 2010-12-23 |
| 1417267949 | Humberto Alcocer | Military Health Care Provider | 4159 W 3rd Pl, Yuma, AZ 85364-1009 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DAVE ALAN LEWIS.
| 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.