MS. ELIZABETH ANNE PLETTNER (NPI# 1134445414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134445414 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANNE PLETTNER |
| Practice Address |
162 1st St Port Hueneme Cbc Base CA 93043-4316 |
| Mailing Address |
1810 Via Petirrojo B Newbury Park CA 91320-5951 |
| Practice Telephone | 8059898030 |
| Mailing Telephone | 3615239609 |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |
| Gender Code | F |
| 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 |
162 1ST ST |
| City | PORT HUENEME CBC BASE |
| State | CA |
| Zip Code | 93043-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079890 | Charles Robert Benson | Family Medicine | 162 1st St, Port Hueneme Cbc Base, CA 93043-4316 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852921 | Ryan Kitchens | Military Health Care Provider | 4643 Dock Road Building 524, Port Hueneme, CA 93043 | 2018-05-22 |
| 1881952661 | Underwater Construction Team Two | Military/U.S. Coast Guard Transport | 4643 Dock Road Bldg 524, Underwater Construction Team Two, Port Hueneme, CA 93043 | 2012-04-30 |
| 1528037108 | Thomas A Colp | Optometrist | 162 First Street, Port Hueneme, CA 93043 | 2006-03-16 |
| 1033184874 | Erwin Lee Hoffman | Pediatrics | 162 First St, Port Hueneme Amulatory Clinic Navy Base, Port Hueneme, CA 93043 | 2006-02-22 |
| 1366412157 | William Malcolm Brown IIi | Family Medicine | 1436 Pacific Avenue, Port Hueneme, CA 93043 | 2006-01-24 |
| 1316334717 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1033506431 | Naval Hospital Camp Pendleton | Military/U.S. Coast Guard Pharmacy | 162 1st St Bldg 1402, Port Hueneme, CA 93043 | 2015-04-23 |
| 1871828723 | Seth T. Secrease | Military Health Care Provider | Naval Clinic Port Hueneme, 162 1st St, Port Hueneme, CA 93043-0001 | 2009-10-09 |
| 1396930129 | Shawn Jeremy Kern | Military Health Care Provider | Underwater Construction Team 2 Medical, 4643 Dock Road Bldg 524, Port Hueneme, CA 93043-0001 | 2007-09-14 |
| 1376754242 | Joshua William Ross | Military Health Care Provider | Naval Ambulatory Care Clinic, 162 1st Street Building 1402, Port Hueneme, CA 93043-0001 | 2007-05-24 |
| Find all providers in zip 93043 | ||||
| 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 |
|---|---|---|---|---|
| 1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT HUENEME CBC BASE |
| Zip Code | 93043 |
Please comment or provide details below to improve the information on MS. ELIZABETH ANNE PLETTNER.
| 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.