MR. JAMES REGINALD WYCHE (NPI# 1588845762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588845762 |
| Entity Type | Individual |
| Full Name | MR. JAMES REGINALD WYCHE |
| Credential | IDC |
| Practice Address |
814 Radford Blvd Suite 20328 Albany GA 31704-1130 |
| Mailing Address |
814 Radford Blvd Psc 20012 Albany GA 31704-1130 |
| Practice Telephone | 2296397764 |
| Mailing Telephone | 2293697764 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841419389 | James Stanton Wyche | Technician/Technologist | 509 N Washington St, Junction City, KS 66441-2918 | 2007-04-24 |
| Street Address |
814 RADFORD BLVD SUITE 20328 |
| City | ALBANY |
| State | GA |
| Zip Code | 31704-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740269166 | Chidiebere Uzoma Ekenna-kalu | Optometrist | 814 Radford Blvd, Bldg 7000, Albany, GA 31704-1130 | 2006-01-13 |
| 1952761959 | John David Pascual | Military Health Care Provider | 814 Radford Blvd, Bldg 7000, Albany, GA 31704-1130 | 2016-03-03 |
| 1053665018 | Barbara M Robinson | Pharmacist | 814 Radford Blvd, Building 7000, Albany, GA 31704-4021 | 2012-10-30 |
| 1598064289 | Marine Corps Logistics Base Albany, Ga | Ambulance | 814 Radford Blvd, Suite 20346, Albany, GA 31704-1130 | 2011-03-21 |
| 1144490202 | Matthew Lee Pense | Military Health Care Provider | 814 Radford Blvd, Albany, GA 31704-9998 | 2008-03-05 |
| 1245416585 | Ryan Edward Sanford | Military Health Care Provider | 814 Radford Blvd, 20328, Albany, GA 31704-1130 | 2008-01-17 |
| 1952591034 | Patricia Montgomery | Nurse Practitioner | 814 Radford Blvd, Albany, GA 31704-1130 | 2007-07-26 |
| 1285731034 | Naval Hospital Jacksonville | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd, Bldg 7200, Albany, GA 31704-5000 | 2006-09-20 |
| 1316997026 | Dublin Vamc | Clinic/Center | 814 Radford Blvd, Albany, GA 31704-1130 | 2006-05-11 |
| 1952374514 | Wendell Eugene Lovett | Pharmacist | 814 Radford Blvd, Bldg 7200, Albany, GA 31705-9911 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033639752 | Ryan Charles Romer | Military Health Care Provider | 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 | 2017-06-23 |
| 1992212112 | Laketa Clyde Williams | Social Worker | 814 Radford Blvd Bldg 7000, Albany, GA 31704-1130 | 2018-01-09 |
| 1952816811 | Branch Medical Clinic Albany | Clinic/Center | 814 Radford Blvd Bldg 7000, Albany, GA 31704-1130 | 2017-12-13 |
| 1437561214 | Branch Medical Clinic Albany Pharmacy | Military/U.S. Coast Guard Pharmacy | 814 Radford Blvd Bldg 7000, Marine Corps Logistics Base, Albany, GA 31704-1130 | 2014-05-28 |
| 1508045550 | Hubert Williams | Military Health Care Provider | 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 | 2007-10-26 |
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033639752 | Ryan Charles Romer | Military Health Care Provider | 814 Radford Blvd Ste 20328, Albany, GA 31704-1130 | 2017-06-23 |
| 1508045550 | Hubert Williams | Military Health Care Provider | 814 Radford Blvd Bldg 7000, Albany, GA 31704-9998 | 2007-10-26 |
| 1952761959 | John David Pascual | Military Health Care Provider | 814 Radford Blvd, Bldg 7000, Albany, GA 31704-1130 | 2016-03-03 |
| 1245416585 | Ryan Edward Sanford | Military Health Care Provider | 814 Radford Blvd, 20328, Albany, GA 31704-1130 | 2008-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295105773 | Christopher Lamar Davis | Military Health Care Provider | 3665 Cherry Ridge Blvd, Decatur, GA 30034-5011 | 2015-09-28 |
| 1124425376 | Cody Williams | Military Health Care Provider | 2198 Old Groveland Rd, Pembroke, GA 31321-3322 | 2014-12-03 |
| 1851625370 | Holistic Approach Wellness Center | Military Health Care Provider | 5744 Austell Powder Springs Rd, Austell, GA 30106-3231 | 2009-09-30 |
| 1275717092 | Michael Arnez Leggett | Military Health Care Provider | 1063 Uss Georgia Ave, Commander Submarine Group Ten, Kings Bay, GA 31558-2626 | 2007-12-28 |
| 1023291788 | Jay D Carson | Military Health Care Provider | 1050 Uss Gerogia Ave, Kings Bay, GA 31547 | 2007-12-17 |
| 1194904847 | George Gleason Sweeney IIi | Military Health Care Provider | 143 Laurel Marsh Way, Kingsland, GA 31548-6192 | 2007-10-30 |
| 1568651321 | Westley Michael Durnell | Military Health Care Provider | 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547 | 2007-10-17 |
| 1013127497 | Cory Dean Sant | Military Health Care Provider | Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 | 2007-05-23 |
| 1225156441 | David Michael Holt | Military Health Care Provider | 341 Creekside Dr, Saint Marys, GA 31558-4485 | 2007-03-26 |
| 1578592838 | Eric Windsor Larson Sr. | Military Health Care Provider | 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 | 2006-06-30 |
| Find all providers with the same taxonomy | ||||
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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.