LIAM CONNALL NOONE (NPI# 1336792340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336792340 |
| Entity Type | Individual |
| Full Name | LIAM CONNALL NOONE |
| Credential | IDMT |
| Practice Address |
527 Gott Rd Enid OK 73705-5103 |
| Mailing Address |
200 Fields St Enid OK 73705-5700 |
| Practice Telephone | 5802137317 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| 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 |
| Street Address |
527 GOTT RD |
| City | ENID |
| State | OK |
| Zip Code | 73705-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043200793 | David Barnard | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2005-10-25 |
| 1184225138 | Danielle Young | Social Worker | 527 Gott Rd, Enid, OK 73705-5103 | 2020-11-05 |
| 1598301277 | Anh N Ison | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2019-11-18 |
| 1225598980 | Andrew Jonathan Carey | Military Health Care Provider | 527 Gott Rd, Enid, OK 73705-5103 | 2019-03-20 |
| 1801306188 | Scott Lynn Chance | Pharmacist | 527 Gott Rd, Enid, OK 73705-5103 | 2017-10-02 |
| 1114458957 | Chang Liu Lipinski | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2017-03-23 |
| 1417349697 | Usaf | Military Hospital | 527 Gott Rd, Enid, OK 73705-5103 | 2015-02-25 |
| 1962818336 | 71 Mdg Mdss Sgsr | Military/U.S. Coast Guard Pharmacy | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-07 |
| 1689080418 | Alison Allen | Pediatrics | 527 Gott Rd, Enid, OK 73705-5103 | 2014-07-01 |
| 1982044863 | Zachary John Genant | Family Medicine | 527 Gott Rd, Enid, OK 73705-5103 | 2013-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699074013 | Christopher Lee Endres | Military Health Care Provider | 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 | 2011-03-24 |
| 1578128070 | Jason Ruggieri | Psychologist | 527 Gott Road, Bldg 816, Enid, OK 73705-5103 | 2019-05-09 |
| 1831556455 | Jennifer Anne Barclay | Pediatrics | 527 Gott Rd Bldg 810, Enid, OK 73705-5103 | 2016-01-27 |
| 1669991758 | Omer S Sanabria | Dentist | 71st Mdg, 527 Gott Rd., Bldg 810, Enid, OK 73705-5105 | 2017-09-11 |
| 1164661096 | Traci Lynn Johnson | Licensed Vocational Nurse | 71 Mdg, 527 Gott Rd, Vance Afb, OK 73705-5105 | 2009-02-17 |
| 1255395174 | Christopher Makoto Tsueda | Family Medicine | 71 Medical Group, 527 Gott Road, Vance Afb, OK 73705-5105 | 2006-04-17 |
| 1447393889 | William F. Blackerby | Clinical Neuropsychologist | 71 Medical Group, 527 Gott Road Vance Afb, Enid, OK 73705-5105 | 2007-02-15 |
| 1306820915 | Ronald Stuart Johnson | Psychologist | 320 Young Rd, 71 Mdos/sgoml Building 248, Enid, OK 73705-5506 | 2005-12-06 |
| 1851659809 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 242 Fields St Bldg 415, Enid, OK 73705-5700 | 2012-04-27 |
| 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 |
|---|---|---|---|---|
| 1760969083 | Dylan Preister | Military Health Care Provider | 1700 Mosher Dr Apt 214, Enid, OK 73703-6842 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356685770 | Nedjet Martinez | Military Health Care Provider | 5925 Se 66th St, Oklahoma City, OK 73135-3603 | 2012-11-26 |
| 1023364676 | Cheila Taina Rodriguez | Military Health Care Provider | 7156 Nabors Dr Apt C, Tinker Afb, OK 73145-4584 | 2012-08-01 |
| 1427341163 | Jamilei Michelle Alworden Long | Military Health Care Provider | #6 Sallisaw View Dr, Sallisaw, OK 74955 | 2011-05-26 |
| 1306137328 | Nazish R Naqvi | Military Health Care Provider | 4101 Nw Expressway Apt 16096, Oklahoma City, OK 73116-1603 | 2011-04-25 |
| 1699074013 | Christopher Lee Endres | Military Health Care Provider | 527 Gott Road, Vance Clinic, Vance Afb, OK 73705 | 2011-03-24 |
| 1760780118 | Andrea R Stobbe | Military Health Care Provider | 1301 Linwood St, Weatherford, OK 73096-2415 | 2011-03-09 |
| 1265954952 | Mark Gosnell Jr. | Military Health Care Provider | 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 | 2017-07-13 |
| 1932567286 | Michael John-paul Triana | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2016-02-02 |
| 1811318751 | Bridget Williams | Military Health Care Provider | 7050 Air Depot Blvd, Bldg 1094, Tinker Afb, OK 73145-8716 | 2013-12-19 |
| 1568720282 | Christopher Grayson Hampton | Military Health Care Provider | 7050 Air Depot Blvd, Bldg 1094, Tinker Afb, OK 73145-8716 | 2012-05-01 |
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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.