TIMOTHY JOVANOVIC (NPI# 1548517766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548517766 |
| Entity Type | Individual |
| Full Name | TIMOTHY JOVANOVIC |
| Credential | NERMT-I |
| Practice Address |
Bldg 301 Andrews Avenue Lyster Army Health Clinic Fort Rucker AL 36362-5333 |
| Practice Telephone | 9315385272 |
| Practice Fax Number | 3342557368 |
| Mailing Telephone | 9315385272 |
| Mailing Fax Number | 3342557368 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146M00000X | Emergency Medical Technician, Intermediate | I0712646 | KY | Emergency Medical Service Providers |
| Street Address |
BLDG 301 ANDREWS AVENUE LYSTER ARMY HEALTH CLINIC |
| City | FORT RUCKER |
| State | AL |
| Zip Code | 36362-5333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559518 | David W Barber | Orthopaedic Surgery | Bldg 301 Andrews Avenue, Fort Rucker, AL 36362-5333 | 2006-04-21 |
| 1437670353 | Heath Elliot Cox | Emergency Medical Technician, Basic | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-06-30 |
| 1457888703 | Michael Leroy Maxey | Emergency Medical Technician, Basic | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-05-17 |
| 1689110884 | Michael Lawrence | Pharmacist | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-01-11 |
| 1225412026 | Amanda Taylor | Technician/Technologist | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2015-07-13 |
| 1396134342 | Nirmal Pandey | Emergency Medical Technician, Basic | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2015-01-14 |
| 1861898520 | Denise Arnold | Emergency Medical Technician, Basic | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-11-07 |
| 1356742548 | Shandrea Moore | Emergency Medical Technician, Basic | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-09-08 |
| 1639578693 | Shilo Beving | Registered Nurse | Bldg 301 Andrews Avenue, Fort Rucker, AL 36362 | 2014-08-15 |
| 1275943292 | Mary Hannes | Registered Nurse | Bldg 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1417589268 | Jacob Michael Lezon | Emergency Medical Technician, Basic | 30501 Nevins St., Ft. Rucker, AL 36362 | 2020-02-10 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386060093 | Ariel Hernandez | Emergency Medical Technician, Intermediate | Bldg 301, Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1427325687 | St Jude Thaddeus Internal Medicine | Emergency Medical Technician, Intermediate | 5431 Beacon Dr, Irondale, AL 35210-2862 | 2011-11-16 |
| 1720266778 | Richard Bauer | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave., Lyster Army Health Clinic, Ft Rucker, AL 36330 | 2008-02-01 |
| 1972771293 | Michael Douglas Bradley | Emergency Medical Technician, Intermediate | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2008-02-20 |
| City | FORT RUCKER |
| Zip Code | 36362 |
Please comment or provide details below to improve the information on TIMOTHY JOVANOVIC.
| 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.