ERIC DYLAN MASON


Address: 2630 Central Ave, Eielson Afb, AK 99702-2301
Phone: 9073776610

ERIC DYLAN MASON (NPI# 1578189387) 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) 1578189387
Entity Type Individual
Full Name ERIC DYLAN MASON
Credential IDMT
Practice Address 2630 Central Ave
Eielson Afb
AK 99702-2301
Mailing Address 736 Broadway St Apt B
Eielson Afb
AK 99702-1344
Practice Telephone 9073776610
Mailing Telephone 5732477696
Enumeration Date 2020-06-18
Last Update Date 2020-06-18
Gender Code M
Is Sole Proprietor N

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

Other Providers ERIC MASON

NPI Name Taxonomy Address Enumeration
1205379278 Eric C Mason Counselor 6300 Portola Rd, Las Vegas, NV 89108-3921 2016-11-23
1740651678 Eric Mason Taxi 92 Jordan Rd, Buena Vista, VA 24416-4423 2015-10-19
1346560133 Eric Mason Counselor 4365 Us Highway 264 E, Greenville, NC 27834-0708 2010-06-03
1720026024 Eric Mason Emergency Medicine 210 N Highway 27, Clermont, FL 34711-2411 2006-06-02
1457826968 Eric Donald Mason Physician Assistant 4401 Penn Ave, Pittsburgh, PA 15224-1334 2018-10-11
1104270560 Eric Mason Otolaryngology 915 Olentangy River Rd Ste 4000, Columbus, OH 43212-3154 2016-04-21
1053576975 Eric D Mason Physical Therapist 3500 Beachwood Ct, Suite 203, Jacksonville, FL 32224-5706 2008-07-21
1881875714 Eric S Mason Physical Therapist 1860 State Road 436, Suite 1000, Winter Park, FL 32792-2255 2007-11-20
1801907795 Eric Wayne Mason Anesthesiology 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2006-08-31

Office Location

Street Address 2630 CENTRAL AVE
City EIELSON AFB
State AK
Zip Code 99702-2301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578545109 Robert Greg Patterson Family Medicine 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702-2325 2005-11-18
1689274664 Bradley Martin Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1891395802 Kaleb Hatfield Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1346840329 Stephanie Danielle Rowe Dental Assistant 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1851991855 Cody Scott Lemon Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2020-10-28
1912546524 Susan Liebig Dental Hygienist 2630 Central Ave, Eielson Afb, AK 99702-2301 2019-12-30
1639724636 Sandra Muniz Licensed Practical Nurse 2630 Central Ave, Eielson Afb, AK 99702-2301 2019-08-06
1104393446 Matthew Gray Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2018-10-24
1952885121 Anthony Ewell-kollmann Dentist 2630 Central Ave, Eielson Afb, AK 99702 2018-09-24
1366980260 Michelle Marie Ely Social Worker 2630 Central Ave, Eielson Afb, AK 99702-2301 2017-02-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174864904 Eric Noll Optometrist 2630 Central Ave # 3349, Eielson Afb, AK 99702 2013-03-04
1407125123 Optical Center Technician/Technologist 451 Broadway Street, Eielson Afb Aafes Exchange, Eielson, AK 99702 2011-12-27
1063649234 John Michael Strothenke Military Health Care Provider 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 2009-06-16
1225272073 Landru Derek Medvec Military Health Care Provider 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 2009-04-23
1780875617 Victoria L Ketchum Specialist E. Cowles, Fairbanks Memorial Hospital, Fairbanks, AK 99702 2007-08-06
1689768103 Angie M. Walker Social Worker 2630 Central Av, Suite 1m07, Eielson Afb, AK 99702 2006-10-02
1306945464 354th Medical Group Mdg Military/U.S. Coast Guard Pharmacy Bldg 3349 Central Ave, Eielson Afb, AK 99702 2006-09-22
1760442297 Susan Mary Runyan Dietitian, Registered 354th Medical Group, 2630 Central Ave, Suite 1m07, Eielson Afb, AK 99702 2006-03-27
1972166916 Andrew Joseph Colburn Registered Nurse 2630 Central Ave # 3349, Eielson Afb, AK 99702 2019-04-16
1306375704 Robert Marshall Walter Dentist 2630 Central Ave Bldg 3349, Eielson Afb, AK 99702 2017-06-08
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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
1225272073 Landru Derek Medvec Military Health Care Provider 2422 Arctic Ave, Apt D, Eielson Afb, AK 99702 2009-04-23
1518586122 Amanda Nichols Military Health Care Provider 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 2020-04-14
1104393446 Matthew Gray Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2018-10-24
1730541038 Matthew Robert Kramer Military Health Care Provider 2630 Central Ave # 3349, Eielson Afb, AK 99702-2301 2016-03-25
1821225913 Alton E Doe Jr. Military Health Care Provider 2630 Central Ave, Ste 1, Eielson Afb, AK 99702-2301 2009-06-16
1982830287 Julianne Marie Lujan Military Health Care Provider 2630 Central Ave, 354 Mdos Flight Medicine Clinic, Eielson Afb, AK 99702-2301 2009-06-02
1851534184 Angelia Deanne Calder Military Health Care Provider 2630 Central Ave, Eielson Afb, AK 99702-2301 2009-04-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861093304 Ryan Garcia Military Health Care Provider 673d Med Group, Jber, AK 99501 2020-11-02
1447850268 Ryan Rene Reyes Military Health Care Provider 1024 Nordale Rd, North Pole, AK 99705-5154 2020-10-30
1285055129 Jennifer Trout Military Health Care Provider 18226 Pioneer Dr, Eagle River, AK 99577-9331 2013-12-19
1063649234 John Michael Strothenke Military Health Care Provider 2630 Central Avenue Suite 1, 354 Medical Operations Squadron, Clinical Medicine Flt, Eielson Air Force Base, AK 99702 2009-06-16
1851853048 Jordan Matthew Cate Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2019-04-05
1457810657 Mycala B Stedingh Military Health Care Provider 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 2019-03-18
1912481656 Colin Michael Mullaly Military Health Care Provider 5955 Zeamer Ave, Anchorage, AK 99506-3702 2018-09-19
1104303320 Luis Baltazar Baptista Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2018-07-20
1780172122 Kathryn Noel Nyunt Military Health Care Provider 5955 Zeamer Ave, Anchorage, AK 99506-3702 2018-05-01
1922498096 Kari Lynn Robinson Military Health Care Provider 5955 Zeamer Ave, Jber, AK 99506-3702 2015-01-28
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Competitor

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City EIELSON AFB
Zip Code 99702

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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