JOHNATHAN GUNN (NPI# 1255832069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255832069 |
| Entity Type | Individual |
| Full Name | JOHNATHAN GUNN |
| Credential | SFIDC |
| Practice Address |
200 Albatross Ave. Bldg N46 P.o. Box 190651 Kodiak AK 99619 |
| Mailing Address |
2901 Richard Buck N Williamsburg VA 23185-8325 |
| Practice Telephone | 9074875344 |
| Mailing Telephone | 9079424385 |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
200 ALBATROSS AVE. BLDG N46 P.O. BOX 190651 |
| City | KODIAK |
| State | AK |
| Zip Code | 99619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124416151 | Katelyn Braswell | Technician, Other | Base Kodiak Bldg N46, Kodiak, AK 99619 | 2014-12-29 |
| 1033517206 | United States Coast Guard | Clinic/Center | Base Kodiak Building N-46, Kodiak, AK 99619 | 2014-12-19 |
| 1891043642 | Lara Alohalani Schiffer | Technician, Other | N46 Cape Sarichef Rd, Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1114275807 | Bonnie Reilly | Technician, Other | Sarichef Rd Bldg N-46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1730437427 | April Lynn Fieste | Technician, Health Information | Cape Sarichef Bldg N46, Uscg Hswl Rockmore King Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1568710259 | Zachary Xaiver Love | Technician, Other | Cape Sarichef Rd. Bldg N46, Hswl Rockmore-king Clinic, Kodiak, AK 99619 | 2012-08-28 |
| 1518159672 | Regan Enlow-moir | Dental Hygienist | Building N46, Cape Sarichef Street, Kodiak, AK 99619 | 2007-08-13 |
| 1659416857 | Kristy A Campbell | Technician, Other | Cape Sarichef Rd Bldg N46, Hswl Fo Kodiak, Kodiak, AK 99619 | 2007-02-21 |
| 1689727539 | Elaine A. Jergons | Military Health Care Provider | Building N-46, Kodiak, AK 99619 | 2007-01-22 |
| 1104925262 | Us Coast Guard Finance Center | Military/U.S. Coast Guard Pharmacy | Bldg N46 Isc Kodiak, Kodiak, AK 99619 | 2006-09-22 |
| Find all providers in zip 99619 | ||||
| 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 |
|---|---|---|---|---|
| 1780928606 | Laren Leilani Olivar | Military Health Care Provider | 4200 Spruce Cape Rd, Kodiak, AK 99615-6935 | 2012-11-15 |
| 1598807588 | Juan C Guevara | Military Health Care Provider | Building N-46 Capesarichef, Kodiak, AK 99619-5002 | 2007-02-13 |
| 1689727539 | Elaine A. Jergons | Military Health Care Provider | Building N-46, Kodiak, AK 99619 | 2007-01-22 |
| 1609914449 | Adam D Cravey | Military Health Care Provider | Building N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336371574 | Caroline Kankanton Finney | Military Health Care Provider | 3380 C. Street, Suite 100, Anchorage, AK 99508 | 2009-08-21 |
| 1306971650 | Aide' Rodriguez Marcontell | Military Health Care Provider | 1980 Anchorage Port Rd, Msst Anchorage (91111), Anchorage, AK 99501-1022 | 2007-02-23 |
| 1730223462 | John Franklin Wendelschaefer Jr. | Military Health Care Provider | 709 W 9th St, Suite 627, Juneau, AK 99801-1807 | 2007-02-16 |
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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.