JOSH IMMITT (NPI# 1992336721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992336721 |
| Entity Type | Individual |
| Full Name | JOSH IMMITT |
| Credential | PA |
| Practice Address |
Weed Army Community Hospital Building 390, N Loop Road Fpo AA 92310 |
| Mailing Address |
25 Crescent Rd Port Washington NY 11050-3326 |
| Practice Telephone | 5164239010 |
| Mailing Telephone | 5164239010 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
WEED ARMY COMMUNITY HOSPITAL BUILDING 390, N LOOP ROAD |
| City | FPO |
| State | AA |
| Zip Code | 92310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100568 | Kellyann Michelle Francis | Dental Hygienist | 171, 4th St., Fort Irwin, CA 92310 | 2020-10-06 |
| 1598362253 | Lauren Elisabeth O'keefe | Dental Hygienist | 172 4th Street, Fort Irwin, CA 92310 | 2020-10-06 |
| 1215583737 | Lyra Angelica Velayo Matin | Marriage & Family Therapist | Bldg 390 N Loop Road, Fort Irwin, CA 92310 | 2019-08-12 |
| 1003384629 | Gary Barrow | Chiropractor | 390 Outerloop Rd, Fort Irwin, CA 92310 | 2018-11-13 |
| 1801373055 | Lee John Bizon Jr. | Nurse Practitioner | 390 North Loop Rd, Fort Irwin, CA 92310 | 2018-07-20 |
| 1619489937 | Ronda Marie Shiro | Dental Assistant | 171 Inner Loop Rpad, Fort Irwin, CA 92310 | 2017-10-26 |
| 1841713195 | James Degroot | Registered Nurse | Weed Army Community Hospital 390 North Loop Rd., Fort Irwin, CA 92310 | 2017-07-19 |
| 1356897615 | Alan Josiah Mills II | Dental Assistant | Bldg 171, 4th & Inner Loop Road, Fort Irwin, CA 92310 | 2016-08-28 |
| 1568917136 | Kathryn Paine | Physical Therapist | Building 390, North Loop Rd, Fort Irwin, CA 92310 | 2016-08-23 |
| 1487003588 | Kristyn Lauren Ollison | Dental Assistant | Bldg 248 A Meddac, Fort Irwin, CA 92310 | 2016-06-09 |
| Find all providers in zip 92310 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
| 1013385533 | Yomaira Maritza Gonzalez | Military Health Care Provider | Psc 475 Box 1345, Fpo, AP 96350-9998 | 2015-09-15 |
| 1750763637 | Kathleen R Montanez | Military Health Care Provider | Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2015-06-26 |
| 1164827135 | Mark Steven Little | Military Health Care Provider | 3d Marine Division, Unit 35801, Fpo, AP 96382-5801 | 2014-11-03 |
| 1598164592 | Jami Erickson | Military Health Care Provider | Uss Dewey, Ddg 105, Fpo, AP 96663-1303 | 2014-08-15 |
| 1922359702 | Spencer Corey Southerland | Military Health Care Provider | Seal Team 2, Unit 60003, Fpo, AE 09501-4633 | 2012-09-20 |
| 1609164946 | Adam Alma Reel | Military Health Care Provider | 3d Recon Bn, Unit 36180, Fpo, AP 96602-6180 | 2011-07-20 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
| 1851561518 | Christopher Michael Brown | Military Health Care Provider | Uss Tripoli (lha-7), Medical Department, Fpo, AP 99765 | 2008-03-09 |
| Find all providers in FPO | ||||
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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.