DAVID YOUNKIN (NPI# 1285175810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285175810 |
Entity Type | Individual |
Full Name | DAVID YOUNKIN |
Credential | M.D. |
Practice Address |
1061 Harmon Ave Fort Stewart GA 31314 |
Mailing Address |
1061 Harmon Ave Fort Stewart GA 31314-5641 |
Practice Telephone | 9124356965 |
Mailing Telephone | 9124356965 |
Enumeration Date | 2017-03-15 |
Last Update Date | 2018-08-20 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Jarrett White Rd, Tripler Army Medical Center, Tripler Army Medical Center, HI 968595001 | 8084332474 |
Street Address |
1061 HARMON AVE |
City | FORT STEWART |
State | GA |
Zip Code | 31314 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871596486 | Donald E Shackleford | Obstetrics & Gynecology | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2005-05-27 |
1619575081 | Rudy Noel Torres Negron | Social Worker | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-16 |
1629675434 | Darryl B Moore | Counselor | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-10-05 |
1093330268 | Lesheia Tasker | Technician, Other | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-06-12 |
1770111270 | Kendal Padgett | Physical Therapist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-30 |
1104452218 | Tiffany L Stark | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-20 |
1396371035 | Alicia Nichole Hasquin | Physician Assistant | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-13 |
1407481492 | Matthew Douglas Lueders | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
1316572308 | Seth Ravid | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-10 |
1487289526 | Huon Sharpe | Student in an Organized Health Care Education/Training Program | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2020-03-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733995 | Heather Ziccarelli Deneen | Dietitian, Registered | 441 Bultman Ave, 1183, Fort Stewart, GA 31314 | 2020-02-28 |
1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
1184154742 | Roland Garcia | Dentist | 351 W 6th St Bldg 440, Ft Stewart, GA 31314 | 2017-06-15 |
1548613045 | Sylvia Mclean | Dental Hygienist | 343 Vanguard Road, Fort Stewart, GA 31314 | 2016-07-20 |
1407209257 | David Wald Jr. | Dental Hygienist | 305 Vanguard Rd. Bldg 8335, Fort Stewar, GA 31314 | 2016-07-18 |
1376995415 | Alisha Potter | Dental Assistant | 305 Vangurard Road, Ft Stewart, GA 31314 | 2016-07-12 |
1538511068 | Brandi Harris | Dental Assistant | 305 Vanguard Rd, Ft Stewart, GA 31314 | 2016-07-08 |
1548612088 | Adrian Cuthbert | Dental Assistant | 305 Vanguard Road, Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
1841642386 | Beverly Lynn Berry | Dental Assistant | 306 Vanguard Road Bldg 8435, Fort Stewart, GA 31314 | 2016-07-08 |
1740630060 | Anjanette Nicole' Brown | Dental Assistant | 706 Warriors Rd, Building 2115, Fort Stewart, GA 31314 | 2016-06-17 |
Find all providers in zip 31314 |
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 |
---|---|---|---|---|
1962878306 | Rafael Soto Jr. | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-08-20 |
1184009607 | George D Young | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003459942 | Summer Ann Felix | Military Health Care Provider | 4260 Nelson Hill Pl, Hahira, GA 31632-3264 | 2019-10-23 |
1811397243 | Kristy Luna | Military Health Care Provider | 2331 Downing Ave, Savannah, GA 31404-3953 | 2014-09-04 |
1952701641 | Alan Vega | Military Health Care Provider | 3715 N Valdosta Rd Apt 82, Valdosta, GA 31602 | 2014-08-29 |
1548697485 | John Dye Jr. | Military Health Care Provider | 655 Seventh St., Robins Afb, GA 31098 | 2013-10-10 |
1306189576 | Rebecca Lynne Lozano | Military Health Care Provider | 620 Randolph Ave, Warner Robins, GA 31098-1162 | 2013-04-05 |
1205110368 | Brian Russell Balcolm | Military Health Care Provider | 4099 Forrest Run Cir, Valdosta, GA 31605-6538 | 2011-10-06 |
1689957862 | Monique Nicole Toth | Military Health Care Provider | 3748 Robin Ln, Valdosta, GA 31605-5102 | 2011-09-23 |
1316230527 | Tamara Alisha Ivy | Military Health Care Provider | 138 Washington Ave, Waynesboro, GA 30830-8421 | 2011-05-20 |
1114221439 | Stephanie Denise Sulewski | Military Health Care Provider | 1063 Uss Tennessee Ave, Avenue Ql 11, Kings Bay, GA 31547-2606 | 2010-12-29 |
1194033365 | Jessica Marie Barker | Military Health Care Provider | 317 Simms Rd, Carrollton, GA 30117-5611 | 2010-09-21 |
Find all providers with the same taxonomy |
City | FORT STEWART |
Zip Code | 31314 |
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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.