VIRGINIA LOLA PETTIGREW-WHEATON (NPI# 1750511911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750511911 |
| Entity Type | Individual |
| Full Name | VIRGINIA LOLA PETTIGREW-WHEATON |
| Practice Address |
3976 King Graves Rd 910th Mds (afrc) Vienna OH 44473-6900 |
| Practice Telephone | 3306091233 |
| Mailing Telephone | 3306091233 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Gender Code | F |
| 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 |
3976 KING GRAVES RD 910TH MDS (AFRC) |
| City | VIENNA |
| State | OH |
| Zip Code | 44473-6900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063764827 | Terri Ann Naughton | Counselor | 3976 King Graves Rd, Vienna, OH 44473-5903 | 2012-10-03 |
| 1750654117 | Brittany Ann Burwell | Dentist | 3976 King Graves Rd, Vienna, OH 44473-6900 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525310 | Sandra St Louis Thompson | Nurse Practitioner | 3946 King Graves Rd, Vienna, OH 44473 | 2020-07-22 |
| 1992050413 | Emily Maki | Physical Therapist | 4543 Warren Sharon Rd, Vienna, OH 44473 | 2012-07-20 |
| 1184993271 | Pamela Irene Barnes | Licensed Practical Nurse | 705 Avalon Creek Blvd, Vienna, OH 44473 | 2011-12-20 |
| 1013028125 | Jose Lonappan Alappatt | Psychiatry & Neurology | 5315 Warren Sharon Rd, Vienna, OH 44473 | 2006-08-31 |
| 1336173046 | James Matthew Trapp | Dentist | 351 Youngstown Kingsville, Vienna, OH 44473 | 2006-07-10 |
| 1659304798 | Vienna Township Ttee | Ambulance | 833 Youngstown Kingsville Rd, Vienna, OH 44473 | 2006-07-09 |
| 1093960973 | Grace Swan-rickard | Licensed Practical Nurse | 4950 Smith Stewart Rd, Vienna, OH 44473-8604 | 2008-11-19 |
| 1093258949 | Rosemarys Home Health | Home Health | 713 Sodom Hutchings Rd Se, Vienna, OH 44473-8612 | 2016-11-27 |
| 1124390356 | Vienna Dental Center, Bart L. James, Dds, Roger L. Clouse, Dds, Ltd. | Dentist | 4400 Warren Sharon Rd, Vienna, OH 44473-8616 | 2012-02-03 |
| 1134236532 | Bart L James | Dentist | 4400 Warren Sharon Rd, Vienna, OH 44473-8616 | 2006-08-23 |
| Find all providers in zip 44473 | ||||
| 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 |
|---|---|---|---|---|
| 1992305700 | Jason Patrick Scoles | Military Health Care Provider | 5607 Hickam Dr, Dayton, OH 45431-1544 | 2020-10-30 |
| 1497380364 | Sean Francis Costello | Military Health Care Provider | 4884 Sugar Maple Dr, Wpafb, OH 45433-5533 | 2020-03-11 |
| 1902449846 | Brandi Krueger-dunn | Military Health Care Provider | 4206 Redfern Rd, Parma, OH 44134-3364 | 2019-10-23 |
| 1821500232 | Jacob Tyler Weaver | Military Health Care Provider | 7320 Canterbury Ct, Liberty Township, OH 45044-9227 | 2017-10-26 |
| 1538585682 | Brian Milner | Military Health Care Provider | 9910 Sherwood Dr, Cincinnati, OH 45231-2526 | 2014-03-13 |
| 1184063729 | Jasom Robert Kidnocker | Military Health Care Provider | 37 Rookwood Dr, Chillicothe, OH 45601-3085 | 2013-06-17 |
| 1629312988 | Jack Williams | Military Health Care Provider | 116 Dickman Dr, Dayton, OH 45431-1570 | 2012-11-26 |
| 1760726178 | Christy Wade | Military Health Care Provider | 19404 Harl Weiller Rd, Caldwell, OH 43724-9149 | 2012-11-26 |
| 1962775890 | Nicole Marie Palko | Military Health Care Provider | 1104 Middy Dr, Dayton, OH 45433-1322 | 2012-02-23 |
| 1326339334 | Brian J Kemp | Military Health Care Provider | 5823 Gross Dr, Dayton, OH 45431-1515 | 2011-04-25 |
| 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.