PATRICK ADRIEL MODGLIN


Address: Uss Cape St George Cg 71, Medical Department, Fpo, AE 09566-1191, UM
Phone: 7579257929

PATRICK ADRIEL MODGLIN (NPI# 1760419642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760419642
Entity Type Individual
Full Name PATRICK ADRIEL MODGLIN
Credential IDC
Practice Address Uss Cape St George Cg 71
Medical Department
Fpo
AE 09566-1191
UM
Mailing Address 245 Locust St
Suffolk
VA 23434-4063
Practice Telephone 7579257929
Mailing Telephone 7579257929
Enumeration Date 2006-06-27
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address USS CAPE ST GEORGE CG 71
MEDICAL DEPARTMENT
City FPO
State AE
Zip Code 09566-1191

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740803279 Issa Khalil Military Health Care Provider Uss Donald Cook, Fpo, AE 09566 2020-05-19
1578085213 Luis Medinareyes Military Health Care Provider Uss Donald Cook (ddg 75), Unit 100516 Box 1, Fpo, AE 09566 2017-07-14
1770025082 Andrew Campbell Military Health Care Provider Uss Cole (ddg 67), Unit 100303 Box 1, Fpo, AE 09566 2016-11-17
1669605093 David D Taylor Military Health Care Provider Attn: Medical, Uss Carr (ffg 52), Fpo, AE 09566 2009-09-02
1932171303 Wing L Leong Emergency Medicine Uss Carl Vinson (cvn 70), Fpo, Ae, VA 09566 2006-02-01
1568463024 Gary Michael Cummings Dentist Uss Carl Vinson Cvn-70, Dental Department, Fpo Ae, VA 09566 2005-08-09
1427241793 Kimberly Edwards Dental Hygienist Uss Carl Vinson, Cvn 70, Fpo, AE 09566 2840 2007-08-21
1932433901 Anthony Craig Winkler Military Health Care Provider Uss Donald Cook Ddg 75, Medical Department, Fpo, AE 09566-1294 2009-09-24
1346449691 David Edward Rowley Military Health Care Provider Uss Carr, Norfolk, USA 09566-1506 2007-07-17
1912965393 John R Bair Military Health Care Provider Uss (ffg 52), Fpo, AE 09566-1506 2006-05-03
Find all providers in zip 09566

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768833 James Blake Weldon Military Health Care Provider Unit 100517 Bx 1, Fpo, AP 09655 2020-10-19
1740803279 Issa Khalil Military Health Care Provider Uss Donald Cook, Fpo, AE 09566 2020-05-19
1396370623 Daniel Rocha Moy Military Health Care Provider Uss Thunderbolt (pc-12), Fpo, AE 09588 2020-03-06
1639701634 Stephen Henderson Military Health Care Provider 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 2020-02-07
1649810219 Maxwell Onyedikachi Osisioma Military Health Care Provider Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 2020-01-13
1508406273 Daniel Levin Military Health Care Provider 3d Recon Bn Aid Station, Fpo, AP 96389-6189 2020-01-10
1053955609 Christopher Zartman Military Health Care Provider Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 2019-11-06
1912553975 Brandon Joseph Dapper Military Health Care Provider Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 2019-08-15
1518525583 William Edward Mcbreen Jr. Military Health Care Provider Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 2019-06-04
1558832345 Nathaniel Franklin Campbell Military Health Care Provider Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 2018-12-06
Find all providers in FPO

Competitor

Search similar providers

City FPO
Zip Code 09566

Improve Information

Please comment or provide details below to improve the information on PATRICK ADRIEL MODGLIN.

Dataset Information

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.

Trending Searches