MR. STEPHEN JEROME WHITE (NPI# 1285877498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285877498 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN JEROME WHITE |
| Credential | IDMT |
| Practice Address |
374 Msgs/sgne Unit 5071 Apo AP 96328 |
| Mailing Address |
2830 Community Ave La Crescenta CA 91214 |
| Practice Telephone | 9712440286 |
| Mailing Telephone | 9712440286 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| 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 |
|---|---|---|---|---|
| 1881246486 | Stephen White | Social Worker | 68 Bishop St Ste 3, Portland, ME 04103-2681 | 2019-07-13 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1952815284 | Stephen John White | Genetic Counselor, MS | 1 Hospital Dr # Dc116.11, Columbia, MO 65212-1000 | 2017-11-22 |
| 1750817524 | Stephen White | Specialist/Technologist | 5304 Quail Wood Dr Apt H, Winston Salem, NC 27104-5505 | 2017-05-11 |
| 1730523630 | Stephen Robert White | Surgery | 8 Marshwinds, Hilton Head Island, SC 29926-1106 | 2013-04-22 |
| 1861750937 | Stephen Wayne White | Registered Nurse | 14021 Sherwood St, Oak Park, MI 48237-1356 | 2012-04-26 |
| 1740487305 | Stephen Aulton White | Internal Medicine | 2289 Rudolphtown Rd Ste B, Clarksville, TN 37043-2231 | 2007-06-28 |
| 1851593982 | Stephen Geoffrey White | Counselor | 70 S Main St Ste 1c, Cranbury, NJ 08512-3140 | 2007-06-01 |
| 1164435475 | Stephen Collier White | Surgery | 1455 E Bert Kouns, Highland Clinic, Apmc, Shreveport, LA 71105 | 2006-08-15 |
| 1639199458 | Stephen Donald White | Dentist | 3651 Avocado Blvd, La Mesa, CA 91941-7337 | 2006-07-21 |
| Street Address |
374 MSGS/SGNE UNIT 5071 |
| City | APO |
| State | AP |
| Zip Code | 96328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740520337 | Cindy L Lan | Dentist | 374th Dental Squadron Yokota Ab, Apo, AP 96328 | 2013-02-19 |
| 1679834964 | Joshua W Donart | Internal Medicine | 374 Medical Group Internal Medicine Clinic, Unit 5071 Bldg 4408, Apo, AP 96328 | 2012-06-03 |
| 1306071048 | Jason Frederick Koesters | Dentist | 374 Mdg, Unit 5071, Apo, AP 96328 | 2009-05-26 |
| 1720221948 | Roberto Ocampo Gutierrez | Military Health Care Provider | Mdos, Unit 5227, Apo, AP 96328 | 2009-04-17 |
| 1396900536 | Jay Matthew Butler | Optometrist | 374th Medical Group/optometry, Yokota Air Base, Japan, Apo, AP 96328 | 2008-07-28 |
| 1689708588 | Wendy Irelan Conway | Obstetrics & Gynecology | 374 Mdg/sgopo, Unit 5071, Apo, AP 96328 | 2007-03-15 |
| 1154427631 | Von F. Borg | Counselor | Yokota Air Base, Unit 5071, Apo, AP 96328 | 2006-09-15 |
| 1649294810 | Doris Ann Boyd | Social Worker | 374 Mdos/sgomhf, Unit 5227, Apo, AP 96328 | 2006-07-27 |
| 1073558961 | Melissa L Tennant | Physical Therapist | Yokota Ab, Japan, Unit 5071, Apo, AP 96328 | 2006-06-17 |
| 1114984101 | Chu Hyon Soh | Physical Therapist | 374 Mdos/sgosy, Unit 5227, Apo, AP 96328 | 2006-04-26 |
| Find all providers in zip 96328 | ||||
| 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 |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1942784442 | Christopher Allen Foster | Military Health Care Provider | 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 | 2018-09-20 |
| 1497294359 | Ryan Springer | Military Health Care Provider | Psc 41 Box 2116, Apo, AE 09464-0022 | 2017-02-13 |
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1316322506 | Andrew Bowers | Military Health Care Provider | Psc 2, Box 8707, Apo, AE 09012 | 2015-07-29 |
| 1689060311 | Kody Whiteside | Military Health Care Provider | 99 Friendship Bldv, Apo, AP 96319-0061 | 2015-04-09 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1720409675 | Emily Porter | Military Health Care Provider | Psc 17 Box 66, Apo, AE 09214-0001 | 2013-12-19 |
| Find all providers in APO | ||||
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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.