MR. JAMES CHRISTOPHER PENNINGTON (NPI# 1306080296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306080296 |
Entity Type | Individual |
Full Name | MR. JAMES CHRISTOPHER PENNINGTON |
Credential | IDMT/NREMT-P |
Practice Address |
Bldg 1032 Creech Afb Cafb Medical Aid Station Indian Springs NV 89018 |
Mailing Address |
5112 Chastain Ln Las Vegas NV 89115-3326 |
Practice Telephone | 7024041142 |
Mailing Telephone | 7024173339 |
Mailing Fax Number | 7024040425 |
Enumeration Date | 2009-04-23 |
Last Update Date | 2009-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146L00000X | Emergency Medical Technician, Paramedic | P8033950 | NV | Emergency Medical Service Providers |
Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184962144 | James Earl Pennington | Internal Medicine | 4 Toledo Dr, Lafayette, CA 94549-2952 | 2013-01-26 |
1528325933 | James Gibson Pennington | Psychiatry & Neurology | 1800 Van Patton Dr, Dayton, OH 45433-5335 | 2012-04-23 |
1760404024 | James H. Pennington | Optometrist | 12101 Lima Rd., Fort Wayne, IN 46818-9563 | 2006-07-24 |
1215989561 | James Emory Pennington Jr. | Dentist | 112 S Hess St, Quarryville, PA 17566-1250 | 2006-05-16 |
1407847510 | James Patrick Pennington | Pharmacist | 1900 W Park Sq, Xenia, OH 45385-2663 | 2005-10-31 |
1578916961 | James Pennington | Counselor | 2101 S 42nd St, Omaha, NE 68105-2909 | 2016-07-20 |
1184986234 | James Pennington | Occupational Therapist | 2100 Twin Church Rd, Florence, SC 29501-8222 | 2012-06-14 |
1700808169 | James Henry Pennington | Otolaryngology | 5147 N 9th Ave, Suite 325a, Pensacola, FL 32504-8771 | 2006-07-24 |
1942284955 | James William Pennington | Family Medicine | 1021 June St, Hood River, OR 97031-1516 | 2005-12-02 |
Street Address |
BLDG 1032 CREECH AFB CAFB MEDICAL AID STATION |
City | INDIAN SPRINGS |
State | NV |
Zip Code | 89018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508342205 | Hope Helping Others Purse Elevation | Community/Behavioral Health | 420 Sky Rd, Unit 31, Indian Springs, NV 89018 | 2018-07-16 |
1003306663 | Christina Joy Mason | Counselor | 775 E Winston, Indian Springs, NV 89018 | 2018-05-18 |
1841679693 | Irma Prettenhofer | Rehabilitation Practitioner | 310 Boulder Lane, Indian Springs, NV 89018 | 2015-05-27 |
1821410614 | Donna Michelle Judd | Counselor | 400 Sky Road, Indian Springs, NV 89018 | 2014-01-13 |
1942439476 | Creech Aid Station | Clinic/Center | 2d Street Bldg #54, Indian Springs, NV 89018 | 2009-07-06 |
1104020668 | Lee Jonathan Marven | Independent Medical Examiner | Cold Creek Road Hwy 95, Southern Desert Correctional Center, Indian Springs, NV 89018 | 2007-06-11 |
1558994806 | Candace Lee Roshon | Chore Provider | 203 Fisher Ln # 8, Indian Springs, NV 89018-0279 | 2020-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003119389 | Regina Nkomo Moyo | Counselor | 290 Valley View Rd, Indian Springs, AL 35124-3645 | 2010-12-08 |
1396954988 | Kenneth Owen Friday | Dentist | 5323 Mountain Park Cir, Indian Springs, AL 35124-3043 | 2007-05-21 |
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 |
---|---|---|---|---|
1265078257 | Matthew Harrison | Military Health Care Provider | 1421 Airport Rd Ste 100, Boulder City, NV 89005-3659 | 2019-11-25 |
1427525831 | John Varner | Military Health Care Provider | 3832 Prairie Orchid Ave, North Las Vegas, NV 89081-4029 | 2018-10-24 |
1033607478 | Steven Correa | Military Health Care Provider | 4700 Las Vegas Blvd N # 1300, Las Vegas, NV 89191-6600 | 2018-05-01 |
1518483320 | Jessica Ann Ewers | Military Health Care Provider | 8701 W Gilmore Ave, Las Vegas, NV 89129-7687 | 2017-08-15 |
1194085472 | Brianne Wadtke | Military Health Care Provider | 405 Prairie Moon Ave, North Las Vegas, NV 89084-1257 | 2012-05-21 |
1235401621 | Jeremy Michael Greeley | Military Health Care Provider | 5221 Puma Ct, North Las Vegas, NV 89031-0704 | 2012-02-01 |
1306175096 | Ta'wana L Jones | Military Health Care Provider | 1900 Las Vegas Blvd, Las Vegas, NV 89110 | 2009-12-09 |
1902037344 | Olekachi Jean Thomas | Military Health Care Provider | 5537 Diano Marina Ct, North Las Vegas, NV 89081-4078 | 2009-08-03 |
1447480801 | Louis Ruben Naungayan | Military Health Care Provider | 2918 Paradise Hill Ct, North Las Vegas, NV 89031-0539 | 2009-07-20 |
1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
Find all providers with the same taxonomy |
City | INDIAN SPRINGS |
Zip Code | 89018 |
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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.