BENJAMIN ANDREW GALLENTINE


Address: 7219 N Litchfield Rd, Glendale, AZ 85309-1529
Phone: 6238562273

BENJAMIN ANDREW GALLENTINE (NPI# 1578103461) 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) 1578103461
Entity Type Individual
Full Name BENJAMIN ANDREW GALLENTINE
Practice Address 7219 N Litchfield Rd
Glendale
AZ 85309-1529
Practice Telephone 6238562273
Mailing Telephone 6238562273
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 7219 N LITCHFIELD RD
City GLENDALE
State AZ
Zip Code 85309-1529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346888088 Justin Banghart Physician Assistant 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2019-12-12
1225695935 Hannah Toberman Physician Assistant 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2019-05-29
1487027538 Lucas Kim Dentist 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2015-11-10
1316315666 Brooke Ryan Physician Assistant 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2015-09-03
1205231727 Jovens Colas Social Worker 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2014-10-27
1659770840 Michael J Saxton Dentist 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2014-08-14
1316245764 Anthony Bradford Wilson Military Health Care Provider 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2011-03-09
1528374154 Amanda Octavia Nichole Hardy Psychologist 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2010-08-20
1578716965 Julie Ann Gerhart Pharmacist 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2008-10-29
1902967490 Gerald Bernard Goldstein Dentist 7219 N Litchfield Rd, ., Glendale, AZ 85309-1529 2006-12-12
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Providers in the same zip code

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
1346784881 Kaleigh Moses Registered Nurse 13960 W Eagle St, Luke Air Force Base, AZ 85309-1426 2016-12-16
1376893511 Melissa Ann Parra Dentist 7219 N Litchfield Rd., 56th Medical Group, Luke Afb, AZ 85309-1525 2012-09-14
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053617464 Bradley William Snyder Military Health Care Provider 7224 North 139th Avenue, Glendale, AZ 85309 2011-02-02
1376779959 Tracey L Gilmore Military Health Care Provider 3739 W Helena Dr, Glendale, AZ 85308-3105 2009-06-09
1316245764 Anthony Bradford Wilson Military Health Care Provider 7219 N Litchfield Rd, Glendale, AZ 85309-1529 2011-03-09

Providers in the same taxonomy and state

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
1043516610 Charles Delvon Pickett Military Health Care Provider 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 2011-01-31
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
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Competitor

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City GLENDALE
Zip Code 85309

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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