WILLIAM ANTHONY MINOR (NPI# 1306043641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306043641 |
Entity Type | Individual |
Full Name | WILLIAM ANTHONY MINOR |
Credential | IDC |
Practice Address |
2603 Lower Gainsville Rd Nattc Sbt 22 Ssc MS 39529 |
Mailing Address |
2603 Lower Gainsville Rd Sbt 22 Ssc MS 39529 |
Practice Telephone | 2288134000 |
Mailing Telephone | 2288134000 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2010-08-31 |
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 |
---|---|---|---|---|
1396752861 | William Reeves Minor | Family Medicine | 5861 Mason Dixon Hwy, Blacksville, WV 26521 | 2006-08-01 |
1881751840 | William Stephen Minor Jr. | Registered Nurse | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2007-01-02 |
Street Address |
2603 LOWER GAINSVILLE RD NATTC SBT 22 |
City | SSC |
State | MS |
Zip Code | 39529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124341763 | Trevor James Trout | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2010-03-10 |
1962692111 | Francisco Xavier Eavenson | Military Health Care Provider | 2603 Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-07-25 |
1396945853 | Thomas Jay Walker | Military Health Care Provider | Special Boat Team 22, 2603 Lower Gainsville Rd, Stennis Space Center, MS 39529-0001 | 2007-07-23 |
1164624938 | David Allen Stanfield | Military Health Care Provider | 2606 Lower Gainesville Rd, Navsciatts, Stennis Space Center, MS 39529-0001 | 2007-06-04 |
1205048501 | Jean Marc Dube | Military Health Care Provider | Special Boat Team Twenty Two, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2007-05-07 |
1811964471 | Thomas Michael Baldwin | General Practice | 2603 Lower Gainesville Road, Special Boat Team Twenty-two, Stennis Space Center, MS 39529-0001 | 2006-03-02 |
1952721896 | Renee Hendershot | Specialist/Technologist | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2014-04-18 |
1285997841 | Robert Dale Baker | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-19 |
1538421268 | James Patrick Sonnier | Military Health Care Provider | 2603 Lower Gainesville Rd, Stennis Space Center, MS 39529-0001 | 2012-06-08 |
1740413558 | Brandon Wayne Schwartz | Military Health Care Provider | Special Boat Team 22, 2603 Lower Gainesville Road, Stennis Space Center, MS 39529-0001 | 2009-08-26 |
Find all providers in zip 39529 |
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 |
---|---|---|---|---|
1679828842 | Lakedrian Guy | Military Health Care Provider | 980 Courthouse Rd Apt 1521, Gulfport, MS 39507-4298 | 2012-07-13 |
1699055616 | Ashley Elizabeth Gross | Military Health Care Provider | 605 Leigh Dr Apt F50, Columbus, MS 39705-3369 | 2011-08-22 |
1639472236 | Derrick Dewayne Sweat | Military Health Care Provider | 213 Mcnarney Dr, Biloxi, MS 39531-3191 | 2010-12-21 |
1811098361 | Alvin Watson | Military Health Care Provider | 630 Columbia St, Hattiesburg, MS 39401-2801 | 2006-09-26 |
1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
1356994362 | Zsane Wrice | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-07-18 |
1336608702 | Alexa Duesler | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-03-15 |
1992190425 | Seth Haas | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2015-04-01 |
1073943288 | Anna Martin | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2013-11-25 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WILLIAM ANTHONY MINOR.
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.