JOSE EDWIN AVILES (NPI# 1255801049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255801049 |
| Entity Type | Individual |
| Full Name | JOSE EDWIN AVILES |
| Practice Address |
Kelly Street Montgomery AL 36112 |
| Mailing Address |
53a Webster St Montgomery AL 36113-6321 |
| Practice Telephone | 2029999615 |
| Mailing Telephone | 2029999615 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 53a Webster St, Montgomery, AL 361136321 | 2029999615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365303 | Jose Luis Aviles | Dentist | 228 Church St, Berlin, NH 03570-2129 | 2016-05-27 |
| 1346264207 | Jose Aviles | General Practice | 168 Ave Winston Churchill, Ste 1, San Juan, PR 00926-6013 | 2006-07-26 |
| 1114082716 | Jose Sabasa Aviles Iv | Dentist | 30555 Southfield Rd, Suite 320, Southfield, MI 48076-1221 | 2006-12-25 |
| Street Address |
KELLY STREET |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| 1023246188 | Deanne J Terrell | Counselor | 300 S Twining St, Bldg 760, 42d Medical Group, Montgomery, AL 36112 | 2009-06-29 |
| Find all providers in zip 36112 | ||||
| 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 |
|---|---|---|---|---|
| 1962714303 | Randylle E Sneed | Military Health Care Provider | 6254 Taylor Ridge Rd, Montgomery, AL 36116-6509 | 2010-07-13 |
| 1295979730 | Darrell Edward Kirby | Military Health Care Provider | 124 Chennault Circle, Montgomery, AL 36112 | 2009-04-28 |
| 1558505669 | Billy Houston Nored | Military Health Care Provider | 125 Chennault Cir, Montgomery, AL 36112-6008 | 2009-04-21 |
| 1245799618 | Collin Griffith | Military Health Care Provider | 300 Twining St, Montgomery, AL 36112-6027 | 2019-03-15 |
| 1265664098 | Joshua A Barr | Military Health Care Provider | 501 Lemay Plz N, Montgomery, AL 36112-6025 | 2009-08-12 |
| 1447493549 | Jennfier Rebekah Stokes | Military Health Care Provider | 501 Lemay Plz N, Montgomery, AL 36112-6025 | 2009-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780956177 | Rolando Smythe | Military Health Care Provider | 91 White Ave, Maxwell Afb, AL 36113-6301 | 2012-02-01 |
| 1881991420 | James Henry Barnett Jr. | Military Health Care Provider | 1819 Shade Ave, Florence, AL 35630-2237 | 2011-02-17 |
| 1790095222 | Brad David Nunley | Military Health Care Provider | 1339 Spring Valley Dr Ne, Arab, AL 35016-5427 | 2010-10-18 |
| 1912223249 | Kenena Danielle Johnson | Military Health Care Provider | 3711 Pecan Grove Dr Nw, Huntsville, AL 35810-2639 | 2010-04-12 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1962676791 | Stephanie Christine Mock | Military Health Care Provider | 8501 Tanner Wms Rd, Mobile, AL 36608-8322 | 2008-04-14 |
| 1295913820 | Joseph Russel Brown | Military Health Care Provider | Bld 315 Usaamc, Fort Rucker, AL 36362 | 2008-02-06 |
| 1154564573 | Darrell Graham Critzer | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1972749554 | Micheal A Benamon | Military Health Care Provider | 301 Andrews Avenue, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2009-01-02 |
| 1942341490 | Tomas Robert Gruennert | Military Health Care Provider | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36112 |
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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.