PARIS JOHNAE MILTON


Address: 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604
Phone: 8502837318

PARIS JOHNAE MILTON (NPI# 1144723321) 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) 1144723321
Entity Type Individual
Full Name PARIS JOHNAE MILTON
Practice Address 340 Magnolia Cir # 5612
Tyndall Afb
FL 32403-5604
Mailing Address 401 Parklan Dr
Baker
LA 70714-3745
Practice Telephone 8502837318
Enumeration Date 2018-03-14
Last Update Date 2020-09-29
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
FL Other Service Providers

Office Location

Street Address 340 MAGNOLIA CIR # 5612
City TYNDALL AFB
State FL
Zip Code 32403-5604

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326408063 Nathaniel Criddle Dentist 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 2016-02-23
1952730491 Erick Laron Jackson Physical Therapist 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 2013-11-05
1972830701 Quan Tram Pharmacist 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 2009-11-16
1952473308 Robert Allen Frick Family Medicine 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 2006-11-14
1285733907 325th Medical Group Sgsl Military/U.S. Coast Guard Pharmacy Magnolia Circle, Tyndall Afb, FL 32403 2006-09-21
1093737272 Walter Edward Calvo Social Worker Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 2006-07-24
1790727865 Michelle Gautreaux Nutritionist 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 2006-06-12
1568436962 325 Mdg Psychologist 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 2006-02-14
1780658005 Brant Casford Radiology 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 2006-02-14
1215911573 Rama Bhyravabhotla Physician Assistant 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 2005-12-01
Find all providers in zip 32403

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
1164665246 Joshua Parker Military Health Care Provider 325 Mdg 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 2009-04-20
1003234667 Lillybeth Muniz Lugo Military Health Care Provider 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 2014-04-01
1508292111 Zachary T.h. Pingree Military Health Care Provider 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 2013-09-16
1487091062 Ashley Renae Smink Military Health Care Provider 340 Magnolia Cir, Bldg 1465, Tyndall Afb, FL 32403-5604 2013-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457994394 Nathaniel Clay Hollandsworth Military Health Care Provider 517 Harrison Dr, Hurlburt Field, FL 32544-1100 2019-10-23
1316592355 Tiffany Nicole Monroe Military Health Care Provider 6280 Ferguson Dr, Pensacola, FL 32503-7769 2019-08-06
1881197069 David Joseph Bergstrom Military Health Care Provider 2293 Frontera St, Navarre, FL 32566-6202 2018-03-14
1538681226 Qynne M Shoemaker Military Health Care Provider 1008 E Strawbridge Ave, Melbourne, FL 32901-4909 2017-07-13
1891196531 Lorex Boy Lagora Military Health Care Provider 1010 Nw 91st St, Miami, FL 33150-2352 2014-09-12
1366865321 Stephanie Fike Military Health Care Provider 2804 Winners Circle Dr, Navarre, FL 32566-8820 2014-01-28
1639506579 Aaron Newby Military Health Care Provider 3434 Skysail Pl, Tampa, FL 33607-5828 2013-10-10
1821439712 Eric John Muelhausen Military Health Care Provider 6151 Evergreen Pkwy, Crestview, FL 32539-7702 2013-07-09
1457790875 Caige Carter Chapman Military Health Care Provider 1935 Jo Tam Lane, Navarre, FL 32566 2013-06-19
1164861704 Jared Steven Sleeman Military Health Care Provider 524 Tikell Dr, Crestview, FL 32536-5427 2013-06-17
Find all providers with the same taxonomy

Competitor

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City TYNDALL AFB
Zip Code 32403

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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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