MR. MICHAEL WAYNE MCFADDEN


Address: 2309 Saguaro Loop, Alamogordo, NM 88310-7775
Phone: 4024155043

MR. MICHAEL WAYNE MCFADDEN (NPI# 1285958017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285958017
Entity Type Individual
Full Name MR. MICHAEL WAYNE MCFADDEN
Credential IDMT
Practice Address 2309 Saguaro Loop
Alamogordo
NM 88310-7775
Practice Telephone 4024155043
Mailing Telephone 4024155043
Enumeration Date 2010-03-23
Last Update Date 2010-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

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1154394484 Michael J Mcfadden Family Medicine 1301 Main St, Pecatonica, IL 61063-9361 2006-02-08
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Office Location

Street Address 2309 SAGUARO LOOP
City ALAMOGORDO
State NM
Zip Code 88310-7775

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285249326 Diana Cano Behavior Technician 27 N. Yucca Ave, Alamogordo, NM 88310 2020-09-15
1952802787 Kinfe H Alemnugus Pharmacist 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 2018-02-27
1134666902 Hillary Elizabeth Hunter Behavior Technician 1908 Snow Dr, Alamogordo, NM 88310 2017-01-31
1285097774 Adrienne Nicole Martin Physician Assistant 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 2016-04-01
1487022919 Crystal Jackson Behavior Technician 3205 Shawnee Trl, Alamogordo, NM 88310 2015-09-15
1851788798 Timothy W. Basha Counselor 1613 Juniper Dr., Alamogordo, NM 88310 2015-04-17
1215331186 Keith Edward Gerber Case Manager/Care Coordinator 1900 East Tenth Street, Alamogordo, NM 88310 2014-10-21
1710306691 Austin Reed Pharmacist 2401 Indian Wells, Alamogordo, NM 88310 2014-04-08
1760821805 Dollar Cab Company Taxi 1220 Brooks Ave., Alamogordo, NM 88310 2013-06-21
1932544319 Peter Allan Lock Physical Therapist 1011 A 10th Street, Alamogordo, NM 88310 2013-04-30
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801496625 Stephen Kreidler Military Health Care Provider 5453 Roosevelt Loop Ne, Rio Rancho, NM 87144-5218 2020-10-30
1134748692 Patrick James Scollon Military Health Care Provider 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 2020-04-14
1144797556 William Murphy Whittle Military Health Care Provider 2000 Hallum St, Clovis, NM 88101-8684 2018-10-24
1265983068 Yurikoaokio Motomochi Livas Military Health Care Provider 209 Wilmington Cir, Clovis, NM 88101-9382 2016-10-18
1245614544 Rowland Coyle Military Health Care Provider 701 Stephen Moody Rd, Albuquerque, NM 87117 2015-07-16
1972939585 Eugene Navarro Tabita Military Health Care Provider 4050a Greenhouse Pl Se, Albuquerque, NM 87116-3008 2013-09-16
1043553217 Amanda Colyer Military Health Care Provider 2050 2nd St Se # A, Albuquerque, NM 87117-5522 2013-04-05
1831438357 John Frederick Rinaldi Military Health Care Provider 3500 Adenmore Ct, Apt C, Clovis, NM 88101 2013-02-04
1003176389 Ricky Franco Vela Military Health Care Provider 8101a W Sandia Cir Se, Albuquerque, NM 87116-5501 2012-05-21
1740583350 Norma P Grandberry Military Health Care Provider 1501 Westchester St, Clovis, NM 88101-4638 2010-12-21
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Competitor

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City ALAMOGORDO
Zip Code 88310

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Dataset Information

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.

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