MR. RETROYREO DEMONZA CONNER (NPI# 1881908382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881908382 |
| Entity Type | Individual |
| Full Name | MR. RETROYREO DEMONZA CONNER |
| Credential | SUB IDC |
| Practice Address |
Uss New Mexico (ssn 779) Fpo AE 09524-2405 |
| Mailing Address |
88 Buckeye Rd Groton CT 06340-3000 |
| Practice Telephone | 7573394621 |
| Mailing Telephone | 7573394621 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
USS NEW MEXICO (SSN 779) |
| City | FPO |
| State | AE |
| Zip Code | 09524-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124362991 | Megan Challacombe | Physician Assistant | Uss Harry S Truman Cvn75, Unit 100255 Box2720, Fpo, AE 09524 | 2012-11-19 |
| 1255440400 | Eleanor Orpiano Rabang | Dental Hygienist | Uss Harry S. Truman, Dental Dept. 0081, Fpo, AE 09524 | 2006-08-30 |
| 1073797452 | Dusty Alan Webb | Military Health Care Provider | Uss Harry S Truman, Box 80, Fpo, AE 09524 | 2007-12-20 |
| 1508045931 | Angela Katrice Williams-marie | Military Health Care Provider | Uss Harry S Truman Cvn 75, Box 80, Fpo, AE 09524 | 2007-11-01 |
| 1558586644 | Daniel Higgins | Physical Therapist | Uss Harry S Truman, Cvn 75, Fpo, AE 09524-0080 | 2007-04-16 |
| 1649258740 | Chad Michael Thoemke | Physician Assistant | Uss Harry S Truman Cvn 75, Fpo, AE 09524-2875 | 2006-01-09 |
| 1467449140 | Cheri Smiley | Dentist | Uss Harry S Truman, Box 81, Fpo, AE 09524-2875 | 2005-09-29 |
| 1184039356 | Robert Shird | Military Health Care Provider | Uss Harry S Truman, Cvn 75, Fpo, AE 09524-2875 | 2014-06-26 |
| 1255656633 | Stephen E Hartman | Military Health Care Provider | Uss Harry S. Truman, Box 80, Fpo, AE 09524-2875 | 2010-03-29 |
| 1760715379 | Jodie Rita Stump | Dental Hygienist | Uss Harry S Truman, Fpo, AE 09524-2875 | 2009-09-14 |
| Find all providers in zip 09524 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
Please comment or provide details below to improve the information on MR. RETROYREO DEMONZA CONNER.
| 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.