NICOLE MARIE PALKO


Address: 1104 Middy Dr, Dayton, OH 45433-1322
Phone: 5709561800

NICOLE MARIE PALKO (NPI# 1962775890) 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) 1962775890
Entity Type Individual
Full Name NICOLE MARIE PALKO
Credential IDMT
Practice Address 1104 Middy Dr
Dayton
OH 45433-1322
Practice Telephone 5709561800
Mailing Telephone 5709561800
Enumeration Date 2012-02-23
Last Update Date 2012-02-23
Gender Code F
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 1104 MIDDY DR
City DAYTON
State OH
Zip Code 45433-1322

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891289518 Sara Lyons Physician Assistant 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2018-06-16
1073001558 Mega Margapuram Student in an Organized Health Care Education/Training Program 1 Sugar Maple Drive, Dayton, OH 45433 2018-04-30
1437667979 Michael Peter Dring Social Worker Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 2018-01-18
1316486814 Josiah Hardin Internal Medicine 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2017-02-16
1780137380 Allison Osterfeld Pharmacist 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 2016-07-29
1891144283 Kyle Harris Student in an Organized Health Care Education/Training Program 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 2016-06-07
1245601756 Nichole Griep Audiologist 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 2015-10-09
1487021267 Melanie Schaffer Dietitian, Registered 4881 Sugamaple Drive, Wpafb, OH 45433 2015-08-27
1831582261 Joseph K Wray General Practice 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 2015-03-10
1659798031 Maninder Kaur Nurse Practitioner 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 2014-03-24
Find all providers in zip 45433

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
1992305700 Jason Patrick Scoles Military Health Care Provider 5607 Hickam Dr, Dayton, OH 45431-1544 2020-10-30
1629312988 Jack Williams Military Health Care Provider 116 Dickman Dr, Dayton, OH 45431-1570 2012-11-26
1326339334 Brian J Kemp Military Health Care Provider 5823 Gross Dr, Dayton, OH 45431-1515 2011-04-25
1033744909 Joshua Gray Compston Military Health Care Provider 4884 Sugar Maple Dr, Dayton, OH 45433-5533 2020-03-11
1730729542 Alan Eric Piper Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2020-01-09
1225681117 Kaleb Aaron Specht Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2019-07-19
1629505656 Ashley Ann Long Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2017-05-22
1881127421 David Steele Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45433-5529 2017-04-11
1124378336 Stephen Mark Sauer Military Health Care Provider 4881 Sugar Maple Dr, Dayton, OH 45431 2012-09-14
1346471216 Laura Luisa Perry Military Health Care Provider 4881 Sugar Maple Dr, Wright Patterson Afb, Oh, Dayton, OH 45433-5546 2009-07-27
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45433

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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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