MR. GARY STEPHEN MIHALKO JR. (NPI# 1962690982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962690982 |
| Entity Type | Individual |
| Full Name | MR. GARY STEPHEN MIHALKO JR. |
| Credential | IDC |
| Practice Address |
39 Lansdowne Rd Naval Branch Medical Clinic Lakehurst NJ 08733 |
| Mailing Address |
315 11th St Windber PA 15963-1558 |
| Practice Telephone | 7323237106 |
| Practice Fax Number | 7323232247 |
| Mailing Telephone | 6199179380 |
| Mailing Fax Number | 7233232247 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |
| 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 |
39 LANSDOWNE RD NAVAL BRANCH MEDICAL CLINIC |
| City | LAKEHURST |
| State | NJ |
| Zip Code | 08733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710287198 | Lakehurst | Military/U.S. Coast Guard Pharmacy | 39 Lansdown Road Bldg 39, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2010-11-01 |
| 1033377411 | Joseph Stanley Sprafka Jr. | Military Health Care Provider | Bldg 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2008-06-02 |
| 1144426867 | Richard James Donahue IIi | Specialist/Technologist, Other | Bldg. 39 Lansdowne Road Branch Health Clinic, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2007-06-21 |
| 1346349792 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | Bmc Bldg 39, Naval Engineering Station, Lakehurst, NJ 08733 | 2006-09-22 |
| 1245341320 | Brian S Klohn Dmd Pa | Dentist | 19 Union Ave, Lakehurst, NJ 08733 | 2006-08-31 |
| 1881621373 | Frederick Lehman | Internal Medicine | 307 Route 70, Suite 1a, Lakehurst, NJ 08733 | 2006-06-28 |
| 1780654574 | Russell Douglas Francek | Physician Assistant | 39 Lansdownerd, Lakehurst, NJ 08733 | 2006-01-24 |
| 1013902915 | Robert Charles Raffetto | Dentist | Dental Dept, Bldg 39, Naval Health Care Facility, Naval Air Engineering Station, Lakehurst, NJ 08733 | 2005-09-16 |
| 1275168296 | Julia K Guerrero | Physical Therapist | 685 Route 70, Units 4b & 6b, Lakehurst, NJ 08733 | 2020-03-10 |
| 1144352311 | Garden State Supply | Durable Medical Equipment & Medical Supplies | 24 Union Avenue, Lakehurst, NJ 08733-0084 | 2007-03-12 |
| Find all providers in zip 08733 | ||||
| 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 |
|---|---|---|---|---|
| 1033377411 | Joseph Stanley Sprafka Jr. | Military Health Care Provider | Bldg 39 Lansdowne Rd, Naval Branch Medical Clinic, Lakehurst, NJ 08733 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043598246 | Christopher Allen Yesukevich | Military Health Care Provider | 82a Woodland Rd, Apt 4, Short Hills, NJ 07078-2400 | 2011-07-22 |
| 1831302074 | Alex Alfredo Duranalvarado Sr. | Military Health Care Provider | 300 Centerton Rd, Moorestown, NJ 08057-3825 | 2007-05-07 |
| 1467532614 | Juan J Perez Iv | Military Health Care Provider | 1 Munro Ave, Cape May, NJ 08204-5000 | 2006-10-16 |
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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.