JOHN ROBERT POWELL (NPI# 1154939643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154939643 |
| Entity Type | Individual |
| Full Name | JOHN ROBERT POWELL |
| Practice Address |
7300 N Perimeter Rd Bldg 2040 Malmstrom Afb MT 59402-6701 |
| Mailing Address |
6404 Magnolia Dr Great Falls MT 59405-6807 |
| Practice Telephone | 4067314633 |
| Mailing Telephone | 4022120769 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917488 | John Michael Powell | Registered Nurse | 1444 W Wilson Rd, Clio, MI 48420-1644 | 2018-10-03 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1699023606 | John Erik Powell | Case Manager/Care Coordinator | 1372 N 5th St Apt 2, Laramie, WY 82072-2065 | 2012-08-22 |
| 1952552283 | John H. Powell | Psychologist | 7122 Woodfield Dr, Tampa, FL 33617-8730 | 2008-10-06 |
| 1316138431 | John Anthony Powell Sr. | Nursing Care | 697 E 91st St, Cleveland, OH 44108-1232 | 2007-08-05 |
| 1376751768 | John Ray Powell Jr. | Dentist | 911 Julian Allsbrook Hwy., Weldon, NC 27890-0911 | 2007-05-18 |
| 1851415350 | John Randy Powell | Counselor | 207 W Palestine Ave, Palestine, TX 75801-7531 | 2007-03-19 |
| 1073660551 | John W. Powell | Specialist/Technologist | 105 Im Circle, East Lansing, MI 48824-1020 | 2007-01-05 |
| 1639285570 | John Murrill Powell | Optometrist | 1870 Mountain View Ave, Suite 1, Loma Linda, CA 92354-1765 | 2006-08-22 |
| 1578591988 | John D Powell | Family Medicine | 1731 Connelly Springs Rd, Lenoir, NC 28645-7827 | 2006-06-28 |
| Street Address |
7300 N PERIMETER RD BLDG 2040 |
| City | MALMSTROM AFB |
| State | MT |
| Zip Code | 59402-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1396181533 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 | 2013-05-15 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1437205119 | Misty Dawn Robertson | Dental Hygienist | 3700 N Perimeter Road, Malmstrom Afb, MT 59402 | 2007-01-26 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1356329817 | Timothy Paul Gacioch | Physician Assistant | 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 | 2006-01-05 |
| Find all providers in zip 59402 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| 1265862478 | Michael Rohan | Military Health Care Provider | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530751 | Chelsea Allaire Barrow | Military Health Care Provider | 33498 Jocko Rd, Arlee, MT 59821-9343 | 2019-10-23 |
| 1144688300 | Paul Webb | Military Health Care Provider | 208 Webb Ln, Columbia Falls, MT 59912-8631 | 2016-02-03 |
| 1336499938 | Cody Wayne Bohlke | Military Health Care Provider | 1009 Briarwood Ct, Great Falls, MT 59405 | 2012-09-12 |
| 1659906527 | Kelsey Gavin Aldridge | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-03-11 |
| 1891335881 | Lidya Paola Galvan Reyes | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-01-08 |
| 1639644339 | Anton Garcia Hayward | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-10-09 |
| 1609327428 | Usaf | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-10-17 |
| City | MALMSTROM AFB |
| Zip Code | 59402 |
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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.