MR. KARL ELLIOTT VANOVER (NPI# 1619101375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619101375 |
| Entity Type | Individual |
| Full Name | MR. KARL ELLIOTT VANOVER |
| Credential | IDMT |
| Practice Address |
35 Mdg/sgpf Unit 5041 Apo AP 96319 |
| Practice Telephone | 01181176646133 |
| Mailing Telephone | 01181176646133 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| 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 |
35 MDG/SGPF UNIT 5041 |
| City | APO |
| State | AP |
| Zip Code | 96319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518510528 | Jeffrey Alan Utz | Military Health Care Provider | 35 Mdg Misawa, Misawa, AOMORI 96319 | 2019-07-18 |
| 1255828117 | Mary Joy Flores Orias | Counselor | Misawa Ab, Apo, AP 96319 | 2018-04-17 |
| 1124481742 | Esther Kehinde Ikotun | Social Worker | Psc76, Box8582, Apo, AP 96319 | 2016-03-31 |
| 1619101870 | John Michael Cronin | Military Health Care Provider | 35 Mdg, Misawa Ab, Japan, Apo, AP 96319 | 2009-05-04 |
| 1063692135 | Eric C Parkinson | Pediatrics | 35 Mdg Building 99, Apo, AP 96319 | 2007-11-06 |
| 1972794634 | Daniel Stefan Micsunescu | Obstetrics & Gynecology | 35th Medical Group, Misawa Air Base, Bldg 99, Unit 5024, Apo, AP 96319 | 2007-08-07 |
| 1427265701 | Sharon H Proctor | Marriage & Family Therapist | Psc 76 Box 3974, Apo, AP 96319 | 2007-05-17 |
| 1073619656 | Laura Jean Ryan | Social Worker | Unit 5024, Apo, AP 96319 | 2006-09-15 |
| 1649291139 | James Albert Dombrowski | Orthopaedic Surgery | Psc 76, Box 6735, Apo, AP 96319 | 2006-07-21 |
| 1457314338 | Young Kun Sung | Dentist | Psc 76 Box, Apo, AP 96319 | 2006-04-11 |
| Find all providers in zip 96319 | ||||
| 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 |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1942784442 | Christopher Allen Foster | Military Health Care Provider | 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 | 2018-09-20 |
| 1497294359 | Ryan Springer | Military Health Care Provider | Psc 41 Box 2116, Apo, AE 09464-0022 | 2017-02-13 |
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1316322506 | Andrew Bowers | Military Health Care Provider | Psc 2, Box 8707, Apo, AE 09012 | 2015-07-29 |
| 1689060311 | Kody Whiteside | Military Health Care Provider | 99 Friendship Bldv, Apo, AP 96319-0061 | 2015-04-09 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1720409675 | Emily Porter | Military Health Care Provider | Psc 17 Box 66, Apo, AE 09214-0001 | 2013-12-19 |
| Find all providers in APO | ||||
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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.