DONALD EDGAR TRZEPACZ JR. (NPI# 1831329721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831329721 |
Entity Type | Individual |
Full Name | DONALD EDGAR TRZEPACZ JR. |
Credential | IDMT |
Practice Address |
9905 Blewett Ave Niagara Falls NY 14304-6003 |
Practice Telephone | 7168634774 |
Mailing Telephone | 7168634774 |
Enumeration Date | 2009-07-26 |
Last Update Date | 2009-07-26 |
Gender Code | M |
Is Sole Proprietor | Y |
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 |
9905 BLEWETT AVE |
City | NIAGARA FALLS |
State | NY |
Zip Code | 14304-6003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558903963 | Joel Nelson | Chiropractor | 2119 Sawyer Dr., Niagara Falls, NY 14304 | 2019-10-17 |
1992299002 | Jessica Lyn Luh | Speech-Language Pathologist | 2639 Niagara Rd, Niagara Falls, NY 14304 | 2018-06-21 |
1508275926 | Daniel Ivers Norton | Social Worker | 2510 Kirkbridge Dr., Bldg. 803 Rm 121, Niagara Falls, NY 14304 | 2014-08-11 |
1033533997 | Denise Charmaine Sawyer-winkfield | Licensed Practical Nurse | 9701 Niagara Falls Blvd Suite 1f, Aftercare Nursing Services, Niagara Falls, NY 14304 | 2014-02-13 |
1255769204 | Timothy Roy Bronson | Counselor | 8610 Buffalo Avenue, Niagara Falls, NY 14304 | 2013-10-29 |
1679825202 | Brandon Winder | Hearing Instrument Specialist | 6989 Williams Rd., Niagara Falls, NY 14304 | 2012-10-05 |
1952652174 | Michelle Jean Barrons | Registered Nurse | 8431 Girard Ave, Niagara Falls, NY 14304 | 2012-09-27 |
1285983379 | Nicole Lee Hobbs | Physical Therapist | 2111 Sawyer Dr., Niagara Falls, NY 14304 | 2012-09-05 |
1962712513 | Karen Marie Krug | Registered Nurse | 434 72nd Street, Niagara Falls, NY 14304 | 2010-10-18 |
1760626550 | Sadaf Islam | Psychiatry & Neurology | 1623 Military Road, Niagara Falls, NY 14304 | 2009-04-24 |
Find all providers in zip 14304 |
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 |
---|---|---|---|---|
1417228933 | Seth Lee Stucker | Military Health Care Provider | 6732 Ramsgate Road, Chittenango, NY 13037 | 2012-01-13 |
1659689826 | Phillip Nelson Snell | Military Health Care Provider | 1192 Wyncoop Creek Rd, Chemung, NY 14825-9711 | 2010-09-21 |
City | NIAGARA FALLS |
Zip Code | 14304 |
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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.