NATHANIEL GUY JIMENEZ (NPI# 1639539596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639539596 |
| Entity Type | Individual |
| Full Name | NATHANIEL GUY JIMENEZ |
| Practice Address |
5955 Zeamer Ave Jber AK 99506-3702 |
| Practice Telephone | 9075805556 |
| Mailing Telephone | 9075805556 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2020-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
30885 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
5955 ZEAMER AVE |
| City | JBER |
| State | AK |
| Zip Code | 99506-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031768 | Robert Fenton Tyree | Family Medicine | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2005-05-28 |
| 1457985210 | Allison Nicole Womble | Pharmacist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2020-03-02 |
| 1982249579 | Nicolas Araiza Jr. | Social Worker | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-11-07 |
| 1235772732 | Sean Michael Batzer | Physical Therapist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-28 |
| 1912540295 | Melody Megan Thompson | Nurse Practitioner | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-10-19 |
| 1932752771 | Kevin T Watanabe | Dietitian, Registered | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-07-22 |
| 1851853048 | Jordan Matthew Cate | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-04-05 |
| 1669933719 | Keith Happawana | Counselor | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2019-03-29 |
| 1104303320 | Luis Baltazar Baptista | Military Health Care Provider | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-07-20 |
| 1134611213 | Luke Acker | Psychologist | 5955 Zeamer Ave, Jber, AK 99506-3702 | 2018-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922399666 | Emily W Piercefield | Emergency Medicine | 709 W 9th St Ste 627, Juneau, AK 99801-1807 | 2011-04-28 |
| 1376782458 | Seamus M Siddall | Emergency Medicine | 200 A Street, Siddall Medical Services At Clear Afs, Clear Afs, AK 99704 | 2009-02-12 |
| 1184611519 | Susan J Tate | Emergency Medicine | 4076 Neely Road, Fort Wainwright, AK 99703 | 2005-09-30 |
| 1679566269 | South Peninsula Hospital, Inc. | Emergency Medicine | 4300 Bartlett Street, Homer, AK 99603-7005 | 2005-08-29 |
| 1902932213 | Thomas P Lyngholm | Emergency Medicine | 1060 Gaffney Rd # 7440, Usa Meddac-ak, Mcuc-mmd-credentials, Ft Wainwright, AK 99703 | 2007-02-23 |
| 1710095914 | Carey Brent Gear | Emergency Medicine | 880 E End Rd, Homer, AK 99603-7201 | 2006-08-28 |
| 1679590327 | Craig Doser | Emergency Medicine | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2006-07-17 |
| 1750307294 | Marion Constance Mcdevitt | Emergency Medicine | 1650 Cowles St, Fairbanks, AK 99701-5925 | 2006-07-15 |
| 1851366207 | Jim F Walery | Emergency Medicine | 1201 E 36th Ave, Anchorage, AK 99508-4372 | 2006-02-21 |
| 1417944687 | Daniel Safranek | Emergency Medicine | 3200 Providence Dr, Anchorage, AK 99508-4661 | 2005-10-04 |
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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.