MR. ERNEST THEOPHILUS QUIMBY IV (NPI# 1083980932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083980932 |
| Entity Type | Individual |
| Full Name | MR. ERNEST THEOPHILUS QUIMBY IV |
| Credential | IDC |
| Practice Address |
Walter Reed Nmmc Bldg 1 Suite 5103 8955 Wood Road Bethesda MD 20889-5628 |
| Practice Telephone | 2023194440 |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2015-04-30 |
| 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 |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982730024 | Ernest Edward Quimby Jr. | Dentist | 12117 Coursey Blvd, Baton Rouge, LA 70816-4410 | 2007-02-25 |
| Street Address |
WALTER REED NMMC BLDG 1 SUITE 5103 8955 WOOD ROAD |
| City | BETHESDA |
| State | MD |
| Zip Code | 20889-5628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987034 | Michael Franco | Student in an Organized Health Care Education/Training Program | Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2020-03-16 |
| 1245862135 | Kay Tomashek | Pediatrics | National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 | 2020-02-07 |
| 1104470657 | Adam Pink | Dentist | 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 | 2019-08-01 |
| 1659939155 | Matthew Heller | Student in an Organized Health Care Education/Training Program | Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-05-30 |
| 1891258034 | Jane Ann Crotteau | Student in an Organized Health Care Education/Training Program | Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2019-04-12 |
| 1417434341 | Andrea Baeder | Dentist | 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 | 2018-07-24 |
| 1942741723 | John Vance | Orthotist | Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 | 2017-03-14 |
| 1790225704 | Sylvia Best | Pharmacist | 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 | 2017-02-24 |
| 1255783767 | Ryan Kaye | Student in an Organized Health Care Education/Training Program | Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 | 2016-07-08 |
| 1366861221 | Tara Elizabeth Brown | Internal Medicine | 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 | 2014-04-08 |
| Find all providers in zip 20889 | ||||
| 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 |
|---|---|---|---|---|
| 1801864624 | John Vavrek | Military Health Care Provider | Nnmc Bethesda Internal Medicine, 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2006-03-08 |
| 1700136447 | Bradley James Schneider | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0004 | 2012-09-10 |
| 1427367242 | Christopher T Walton | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2010-09-28 |
| 1790098465 | Dinsley Nichol Harris | Military Health Care Provider | 8901 Wisconsin Ave, Internal Medicine, Bethesda, MD 20889-0001 | 2010-07-22 |
| 1891027975 | Christopher James Santee | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2010-02-01 |
| 1235466004 | Chris Sweat | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-0001 | 2009-11-16 |
| 1588991400 | Shannon Leigh Mcgough | Military Health Care Provider | 8901 Wisconsin Ave, Bethesda, MD 20889-5600 | 2009-11-13 |
| 1245461870 | Wilbur Henry Stafford | Military Health Care Provider | National Naval Medical Ctr, 8901 Rockville Pike, Bethesda, MD 20889-0001 | 2009-07-30 |
| 1699911370 | Maurice L Mcbride | Military Health Care Provider | National Naval Medical Center Bethesda, Medical Services Directorate, Bethesda, MD 20889-0001 | 2008-12-30 |
| 1457597601 | Patrick L Hyde | Military Health Care Provider | 8901 Wisconsin Ave, Bldg 1 Room 1693, Bethesda, MD 20889-0001 | 2008-12-17 |
| Find all providers in BETHESDA | ||||
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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.