DYLAN PREISTER


Address: 1700 Mosher Dr Apt 214, Enid, OK 73703-6842
Phone: 4022769889

DYLAN PREISTER (NPI# 1760969083) 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) 1760969083
Entity Type Individual
Full Name DYLAN PREISTER
Credential IDMT
Practice Address 1700 Mosher Dr Apt 214
Enid
OK 73703-6842
Practice Telephone 4022769889
Enumeration Date 2018-07-20
Last Update Date 2018-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 1700 MOSHER DR APT 214
City ENID
State OK
Zip Code 73703-6842

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1366729477 Karen Lynn Harris Counselor 1625 W. Garriot, Suite F, Enid, OK 73703 2011-11-03
1659666501 Courtney Michelle Pike Behavioral Analyst 1625 West Owen K Garriott Road # F, Enid, OK 73703 2011-06-17
1194040089 Erin K. Roberts, Dds, Plc Dentist 1402 N Van Buren, Enid, OK 73703 2010-04-02
1770812109 Tabitha Janel Simon Counselor 529 North Grand, Enid, OK 73703 2009-12-14
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336792340 Liam Connall Noone Military Health Care Provider 527 Gott Rd, Enid, OK 73705-5103 2019-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356685770 Nedjet Martinez Military Health Care Provider 5925 Se 66th St, Oklahoma City, OK 73135-3603 2012-11-26
1023364676 Cheila Taina Rodriguez Military Health Care Provider 7156 Nabors Dr Apt C, Tinker Afb, OK 73145-4584 2012-08-01
1427341163 Jamilei Michelle Alworden Long Military Health Care Provider #6 Sallisaw View Dr, Sallisaw, OK 74955 2011-05-26
1306137328 Nazish R Naqvi Military Health Care Provider 4101 Nw Expressway Apt 16096, Oklahoma City, OK 73116-1603 2011-04-25
1699074013 Christopher Lee Endres Military Health Care Provider 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 2011-03-24
1760780118 Andrea R Stobbe Military Health Care Provider 1301 Linwood St, Weatherford, OK 73096-2415 2011-03-09
1265954952 Mark Gosnell Jr. Military Health Care Provider 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 2017-07-13
1932567286 Michael John-paul Triana Military Health Care Provider 301 N 1st St, Altus, OK 73523-5004 2016-02-02
1811318751 Bridget Williams Military Health Care Provider 7050 Air Depot Blvd, Bldg 1094, Tinker Afb, OK 73145-8716 2013-12-19
1568720282 Christopher Grayson Hampton Military Health Care Provider 7050 Air Depot Blvd, Bldg 1094, Tinker Afb, OK 73145-8716 2012-05-01
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City ENID
Zip Code 73703

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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.

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