MS. TAMARA ALISHA IVY


Address: 138 Washington Ave, Waynesboro, GA 30830-8421
Phone: 7069622652

MS. TAMARA ALISHA IVY (NPI# 1316230527) 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) 1316230527
Entity Type Individual
Full Name MS. TAMARA ALISHA IVY
Practice Address 138 Washington Ave
Waynesboro
GA 30830-8421
Practice Telephone 7069622652
Mailing Telephone 7069622652
Enumeration Date 2011-05-20
Last Update Date 2011-05-20
Gender Code F
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

Other Providers TAMARA IVY

NPI Name Taxonomy Address Enumeration
1215111620 Tamara Ivy Occupational Therapist 702 Main St, De Kalb, MO 64440-9634 2007-12-20

Office Location

Street Address 138 WASHINGTON AVE
City WAYNESBORO
State GA
Zip Code 30830-8421

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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
1003459942 Summer Ann Felix Military Health Care Provider 4260 Nelson Hill Pl, Hahira, GA 31632-3264 2019-10-23
1811397243 Kristy Luna Military Health Care Provider 2331 Downing Ave, Savannah, GA 31404-3953 2014-09-04
1952701641 Alan Vega Military Health Care Provider 3715 N Valdosta Rd Apt 82, Valdosta, GA 31602 2014-08-29
1548697485 John Dye Jr. Military Health Care Provider 655 Seventh St., Robins Afb, GA 31098 2013-10-10
1306189576 Rebecca Lynne Lozano Military Health Care Provider 620 Randolph Ave, Warner Robins, GA 31098-1162 2013-04-05
1205110368 Brian Russell Balcolm Military Health Care Provider 4099 Forrest Run Cir, Valdosta, GA 31605-6538 2011-10-06
1689957862 Monique Nicole Toth Military Health Care Provider 3748 Robin Ln, Valdosta, GA 31605-5102 2011-09-23
1114221439 Stephanie Denise Sulewski Military Health Care Provider 1063 Uss Tennessee Ave, Avenue Ql 11, Kings Bay, GA 31547-2606 2010-12-29
1194033365 Jessica Marie Barker Military Health Care Provider 317 Simms Rd, Carrollton, GA 30117-5611 2010-09-21
1346552783 Bruchell Denise Washington Military Health Care Provider 4224 Wilshire Dr, Valdosta, GA 31605-7020 2010-07-13
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Competitor

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City WAYNESBORO
Zip Code 30830

Improve Information

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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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