MR. JAMES CHRISTOPHER PENNINGTON


Address: Bldg 1032 Creech Afb, Cafb Medical Aid Station, Indian Springs, NV 89018
Phone: 7024041142

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).

Provider Overview

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

Taxonomy

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
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Office Location

Street Address BLDG 1032 CREECH AFB
CAFB MEDICAL AID STATION
City INDIAN SPRINGS
State NV
Zip Code 89018

Providers in the same zip code

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

Providers in the same city

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 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
1265078257 Matthew Harrison Military Health Care Provider 1421 Airport Rd Ste 100, Boulder City, NV 89005-3659 2019-11-25
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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
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Competitor

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City INDIAN SPRINGS
Zip Code 89018

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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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