MARK MAGRINO (NPI# 1164522280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164522280 |
| Entity Type | Individual |
| Full Name | MARK MAGRINO |
| Credential | IDHS |
| Practice Address |
Cg-1122 Uscg Hq Comdt 2100 2nd St Sw Washington DC 20593-0001 |
| Practice Telephone | 2022670801 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
CG-1122 USCG HQ COMDT 2100 2ND ST SW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20593-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417008244 | Jimmie David Wilson Jr. | Technician, Other | Cg-1122 Uscg Hq Comdt, 2100 2nd Street Rm 5314, Washington, DC 20593-0001 | 2007-01-16 |
| 1689725335 | Mason Neil Daniels | Technician, Other | Cg-1122 Uscg Hq Comdt, 2100 2nd St. Room 5314, Washington, DC 20593-0001 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982869939 | Devon Avery | Student in an Organized Health Care Education/Training Program | 21002ndst Sw Swite 5314, Washington, DC 20593 | 2008-07-18 |
| 1922261056 | Robert Harold Spicer | Technician, Other | 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 | 2008-07-09 |
| 1235391772 | Abby Joanna Shannon | Dentist | Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 | 2008-06-26 |
| 1760642797 | Sweet-charity May Keplinger | Physician Assistant | 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-06-12 |
| 1730346719 | Stephen M-l Tate | Student in an Organized Health Care Education/Training Program | 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-05-19 |
| 1659409167 | Marc J Capra | Technician, Other | Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 | 2007-02-28 |
| 1336220730 | Christohper John Lisk | Technician, Other | 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 | 2006-10-18 |
| 1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
| 1811077613 | Thomas Keith Heimann | Technician, Other | 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 | 2006-10-16 |
| 1447330246 | Unitied States Coast Guard | Technician, Other | 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 | 2006-10-16 |
| Find all providers in zip 20593 | ||||
| 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 |
|---|---|---|---|---|
| 1689107351 | Donise Wiggins | Military Health Care Provider | 2234 S St Se Apt 1, Washington, DC 20020-4503 | 2017-04-09 |
| 1508240284 | Frank Paul Yuvan IIi | Military Health Care Provider | 2616 National Pike, Washington, PA 15301-2616 | 2015-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437393618 | Edwardson A Aquino | Military Health Care Provider | 5497 Langley Way Sw Unit B, Bolling Afb, DC 20032-7670 | 2009-05-01 |
| 1760944953 | Torrian Tatum | Military Health Care Provider | 238 Brookley Ave Sw Bldg 1300, Bolling Afb, DC 20032-7704 | 2019-04-05 |
| 1467785790 | David Brian Sowers | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-09-18 |
| 1023245560 | Chad Michael Smith | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-06-11 |
| 1982846416 | Michael James Anderson | Military Health Care Provider | 110 Luke Ave, Afmsa/sg3p, Bolling Afb, DC 20032 | 2009-03-30 |
| City | WASHINGTON |
| Zip Code | 20593 |
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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.