MR. SETH ANTHONY TERRANA (NPI# 1710254552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710254552 |
Entity Type | Individual |
Full Name | MR. SETH ANTHONY TERRANA |
Credential | SURFACE FORCE IDC |
Practice Address |
7050 Air Depot Blvd Tinker Afb OK 73145-8716 |
Practice Telephone | 7573626779 |
Mailing Telephone | 7573626779 |
Enumeration Date | 2011-11-22 |
Last Update Date | 2018-04-27 |
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 |
Street Address |
7050 AIR DEPOT BLVD |
City | TINKER AFB |
State | OK |
Zip Code | 73145-8716 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902893084 | Michelle Marie Wueste | Pediatrics | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2005-10-04 |
1114486701 | James Neal Dillard IIi | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-03-14 |
1407313125 | Cindy Yie | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2019-02-28 |
1720501299 | William Moore | Student in an Organized Health Care Education/Training Program | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-17 |
1265954952 | Mark Gosnell Jr. | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-13 |
1245780170 | Mary Phillips | Social Worker | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-10-04 |
1528418175 | David Rodriguez | Family Medicine | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2016-06-14 |
1497120760 | Thaddeus Dwayne Mitcham | Physician Assistant | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-12-11 |
1659755064 | Benjamin Winston | Dentist | 7050 Air Depot Blvd, Sgdd, Tinker Afb, OK 73145-8716 | 2015-07-15 |
1063895068 | Andrea Theye | Psychologist | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922630946 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tinker Afb Exchange, 3360 N. Avenue Bldg. 685, Tinker Afb, OK 73145 | 2020-02-07 |
1578863437 | Stephanie Brushett | Audiologist | 8941 Entrance Road A, Bldg 3334, Rm 125, Tinker Afb, OK 73145 | 2010-10-26 |
1972530053 | Mark Robert Bacon | Physician Assistant | 72nd Medical Group, 5700 Arnold St, Tinker Afb, OK 73145 | 2006-06-26 |
1417945346 | Heather Renee' Ranger Kobel | Psychologist | 590 Mitchell Blvd, Tinker Afb, OK 73145 | 2005-10-13 |
1003332404 | Davis Brigman | Psychologist | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-08-17 |
1801321393 | Carolyne Bangurah | Registered Nurse | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2017-04-21 |
1558748491 | Caitlin Clare Stevens | General Practice | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2015-04-29 |
1033498571 | Sarah Katherine Turbush | Dentist | 72d Medical Group, Tinker Afb, OK 73145 | 2011-08-16 |
1508000282 | Axelandra Tamar Sang | Military Health Care Provider | 5700 Arnold St, Bldg 5801, Tinker Afb, OK 73145 | 2009-04-27 |
1790936466 | William David Hinojosa | Surgery | 7050 Air Depot Blvd Bldg 1094, Tinker Afb, OK 73145 | 2008-09-30 |
Find all providers in zip 73145 |
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 |
---|---|---|---|---|
1427026947 | Troy Glenn Grizzle | Military Health Care Provider | 7791 Mercury Rd, Tinker Afb, OK 73145-8713 | 2006-03-09 |
1912974007 | Jennifer Caldwell | Military Health Care Provider | 7641 Mercury Rd, Tinker Afb, OK 73145-8707 | 2006-03-07 |
1831584762 | Emmanuel Busingye-nkwizire | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2015-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154764850 | Tonya Rae Jury | Military Health Care Provider | 3001 S Douglas Blvd, Oklahoma City, OK 73150-1003 | 2013-04-11 |
1982848040 | Matthew L. Breske | Military Health Care Provider | 7791 Mercury Rd, Faireconron Four, Oklahoma City, OK 73145-8712 | 2009-04-20 |
City | TINKER AFB |
Zip Code | 73145 |
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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.