MR. EULOGIO QUINTOS GUTIERREZ (NPI# 1912158122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912158122 |
| Entity Type | Individual |
| Full Name | MR. EULOGIO QUINTOS GUTIERREZ |
| Credential | IDC |
| Practice Address |
1058 Middaugh Street Kaneohe Bay HI 96863 |
| Mailing Address |
7293 Birch Cir Pearl City HI 96782-4501 |
| Practice Telephone | 8082571479 |
| Mailing Telephone | 9517753895 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CA | Other Service Providers |
| Street Address |
1058 MIDDAUGH STREET |
| City | KANEOHE BAY |
| State | HI |
| Zip Code | 96863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624992 | Joshua Marcus Kuepper | Military Health Care Provider | 4th Force Reconnaissance Co, 1181 Sumner Rd Mcb Kaneohe Bay Hi, Apo, AA 96863 | 2019-11-22 |
| 1649796244 | Joshua I White | Military Health Care Provider | Bldg 4078 Harris Rd., Mcbh Kaneohe Bay, HI 96863 | 2017-08-16 |
| 1669917712 | Julia Fox | Counselor | Bldg 279 Marine Base, Kaneohe Bay, HI 96863 | 2016-12-28 |
| 1316350168 | Bryan Goodman | Military Health Care Provider | Bldg #1058, Mcbh Kaneohe Bay, HI 96863 | 2014-06-10 |
| 1447690730 | Sean Dennig | Internal Medicine | Mcbh Kaneohe, Building 301, Kaneohe Bay, HI 96863 | 2013-07-01 |
| 1346590262 | Jonathan Cleek | Military Health Care Provider | Bldg 1181 Sumner Rd, Kaneohe Bay, HI 96863 | 2012-09-18 |
| 1881942811 | Wendylynn Marie Clark | Dental Hygienist | Bldg 3089d Street Mcbh, 21st Dental Company, Kaneohe, HI 96863 | 2012-08-23 |
| 1437405826 | Mavis Keiko Gushiken | Dental Hygienist | 21st Dental Mcbh, Unite 38450, Kaneohe Bay, HI 96863 | 2012-08-03 |
| 1457608887 | Hai Duc Nguyen | Dental Hygienist | 21st Dental Mcbh Unit 38450, Kaneohe Bay, HI 96863 | 2012-08-03 |
| 1174805188 | Michael Winkle | Military Health Care Provider | 3d Marine Regiment (-) (rein) (ras), Box 63005 Mcbh, Kaneohe Bay, HI 96863 | 2011-09-15 |
| Find all providers in zip 96863 | ||||
| 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 |
|---|---|---|---|---|
| 1346590262 | Jonathan Cleek | Military Health Care Provider | Bldg 1181 Sumner Rd, Kaneohe Bay, HI 96863 | 2012-09-18 |
| 1174805188 | Michael Winkle | Military Health Care Provider | 3d Marine Regiment (-) (rein) (ras), Box 63005 Mcbh, Kaneohe Bay, HI 96863 | 2011-09-15 |
| 1205045481 | Kelly Michael Miller | Military Health Care Provider | Commanding Officer Medical Company, Cssg-3 Box 63067 Mcbh, Kaneohe Bay, HI 96863 | 2007-05-22 |
| 1609939875 | Patrick Warren Horgan | Military Health Care Provider | 2nd Batallion 3rd Marines, Kaneohe Bay, HI 96863-3006 | 2006-12-19 |
| 1558440826 | David F Barnet | Military Health Care Provider | 3d Marines Regimental Aid Station, Kaneohe Bay, HI 96863-3005 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1508484882 | David Jason Brown | Military Health Care Provider | 6255 Kaawa St, Kailua, HI 96734-4984 | 2020-07-13 |
| 1134759715 | David Maldonado Santiago | Military Health Care Provider | 590 Moffet St, Jbphh, HI 96853-5168 | 2020-01-22 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1649796244 | Joshua I White | Military Health Care Provider | Bldg 4078 Harris Rd., Mcbh Kaneohe Bay, HI 96863 | 2017-08-16 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1811363120 | Timothy Layton | Military Health Care Provider | 1016 Ulupau Loop, Kailua, HI 96734-4772 | 2015-08-20 |
| 1700263001 | Daniel Joseph Engelhardt | Military Health Care Provider | 5435 Kilmer Ln, Honolulu, HI 96818-3467 | 2015-05-06 |
| 1316350168 | Bryan Goodman | Military Health Care Provider | Bldg #1058, Mcbh Kaneohe Bay, HI 96863 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | KANEOHE BAY |
| Zip Code | 96863 |
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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.