MR. GEORGES CUSTODIO TAINO (NPI# 1366499253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366499253 |
| Entity Type | Individual |
| Full Name | MR. GEORGES CUSTODIO TAINO |
| Credential | IDC |
| Practice Address |
1400 Farragut Ave Bremerton WA 98314-6001 |
| Mailing Address |
5120 Nw Whisper St Silverdale WA 98383-8338 |
| Practice Telephone | 3604764023 |
| Mailing Telephone | 3606982773 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
1400 FARRAGUT AVE |
| City | BREMERTON |
| State | WA |
| Zip Code | 98314-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659342731 | Helen May Brady | Physician Assistant | 1400 Farragut Ave, Psns Bhc, Bremerton, WA 98314-6001 | 2006-01-27 |
| 1457554776 | Branch Medical Clinic Puget Sound | Clinic/Center | 1400 Farragut Ave, Bldg 940, Bremerton, WA 98314 | 2007-06-06 |
| 1114991858 | Chris Foust Connelly | Preventive Medicine | 1400 Farragut Ave, Bremerton, WA 98314-6001 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861599623 | Naval Hospital Bremerton | Military/U.S. Coast Guard Pharmacy | 1400 Farragut Ave # Code063, Bremerton, WA 98314 | 2006-09-20 |
| 1790324820 | Gretchen Gamradt | Social Worker | Puget Sound Navy Shipyard 1400 Farragut Ave, Bremerton, WA 98314-0001 | 2020-01-07 |
| 1669429213 | Alan D Garrigus | Military Health Care Provider | Branch Health Clinic Psns, 1400 Farragu Ave, Bremerton, WA 98314-0001 | 2006-05-28 |
| 1316915168 | Garrett Wayne Duckworth Jr. | Family Medicine | Puget Sound Naval Shipyard Branch Health Clinic, 1400 Farragut Ave, Bldg 940, Bremerton, WA 98314-0001 | 2006-03-09 |
| 1457443806 | Francesca Felice Avellina | Optometrist | 1400 Farragut Ave Bldg 940, Bremerton, WA 98314-6001 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1851990477 | Leticeia Scott | Counselor | 2618 Deschutes Pl Apt 3, Bremerton, WA 98312-6015 | 2020-10-23 |
| 1245844497 | Bremerton Mc Operations, LLC | Assisted Living Facility | 3510 9th St, Bremerton, WA 98312-3544 | 2020-09-04 |
| 1538772439 | Glend Ylagan | Registered Nurse | 3030 Ne Loyola St, Bremerton, WA 98311-4014 | 2020-08-28 |
| 1104439801 | Rachel Pamela Stamey | Doula | 635 Times Ave, Bremerton, WA 98312-3715 | 2020-08-24 |
| 1598374803 | Brandy Joy Stuart | Midwife | 1141 Marguerite Ave, Bremerton, WA 98337-1130 | 2020-07-23 |
| 1659997856 | Claudet Berrones | Behavior Technician | 3651 Wheaton Way, Bremerton, WA 98310-3532 | 2020-06-23 |
| 1215553805 | Bay Pointe Al Mc Gr, LLC | Assisted Living Facility | 966 Oyster Bay Ct, Bremerton, WA 98312-2472 | 2020-06-19 |
| 1285259267 | Tekiai A Km-wr Cerer | Behavior Technician | 2669 Duwamish Cir Apt 2, Bremerton, WA 98312-6021 | 2020-06-15 |
| 1558985994 | Shuk C Ting | Registered Nurse | 2635 E Phinney Bay Dr, Bremerton, WA 98312-2767 | 2020-06-02 |
| Find all providers in BREMERTON | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598027237 | Epafara Jeffrey Vaitautolu | Military Health Care Provider | 30 Wencker Way Apt A, Bremerton, WA 98312-1861 | 2012-06-08 |
| 1083944409 | Joseph Enderton | Military Health Care Provider | 3864 Chum Ln Nw, Bremerton, WA 98312-9443 | 2010-01-07 |
| 1982934303 | Gordon John Bergman | Military Health Care Provider | 2821 Montwood Ln, Bremerton, WA 98312-1936 | 2010-01-07 |
| 1568633113 | Stephen Zachary Taylor | Military Health Care Provider | 62c Haven Rd, Bremerton, WA 98312 | 2008-03-21 |
| 1487850137 | Brian Albert Nielson | Military Health Care Provider | 1662 Northlake Way Nw, Bremerton, WA 98312-1716 | 2007-06-21 |
| 1013123405 | James Jon Ruane | Military Health Care Provider | 6935 Liverpool Ct Ne, Bremerton, WA 98311-9646 | 2007-05-15 |
| 1548289069 | Michael Nord | Military Health Care Provider | 7481 Bridlevale Blvd Nw, Bremerton, WA 98311-8987 | 2006-07-18 |
| 1295762862 | Shane Ray Reece | Military Health Care Provider | 4068 Redwing Trail Nw, Bremerton, WA 98312 | 2006-06-27 |
| 1164459707 | Steven Allen Bradsher | Military Health Care Provider | 3350 Narrows View Ln Ne, # 202, Bremerton, WA 98310-6605 | 2006-06-27 |
| 1669429213 | Alan D Garrigus | Military Health Care Provider | Branch Health Clinic Psns, 1400 Farragu Ave, Bremerton, WA 98314-0001 | 2006-05-28 |
| Find all providers in BREMERTON | ||||
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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.