DARYL VISTA LUMAGUI (NPI# 1376063859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376063859 |
Entity Type | Individual |
Full Name | DARYL VISTA LUMAGUI |
Credential | IDC |
Practice Address |
1 Ayres Circle, Bldg. H-1, Pnsy Portsmouth NH 03804 |
Mailing Address |
63 Moore St Kittery ME 03904-1371 |
Practice Telephone | 2074382450 |
Mailing Telephone | 3109401577 |
Enumeration Date | 2017-06-26 |
Last Update Date | 2019-01-03 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
Unit 100211 Box 1, Fpo, AP 966621100 | 3109401577 |
Street Address |
1 AYRES CIRCLE, BLDG. H-1, PNSY |
City | PORTSMOUTH |
State | NH |
Zip Code | 03804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558658757 | Gary James Sweet | Military Health Care Provider | 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 | 2011-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750607164 | Janie James Gendron | Social Worker | Bldg. 241, Portsmouth Naval Shipyard, Portsmouth, NH 03804 | 2010-04-09 |
1104926203 | Christopher Paul Scott | Military Health Care Provider | 100 John Paul Jones Drive, C/o Portsmouth Naval Shipyard, Bldg 171, Portsmouth, NH 03804 | 2006-09-25 |
1396706677 | Kevin Newell Keenan | Preventive Medicine | 1 Ayres Circle, Naval Branch Health Clinic Building H-1, Portsmouth, NH 03804 | 2006-03-28 |
1295238772 | Megan Ann Caltagirone | Nurse Practitioner | 1 Ayres Circle, Portsmouth, NH 03804 | 2018-03-12 |
1396984381 | Christine A Karcher-birt | Registered Nurse | 1 Ayres Circle, Naval Branch Health Clinic, Portsmouth, NH 03804 | 2009-02-13 |
1760605521 | Debra Forzese | Pharmacist | Naval Branch Health Clinic, 1 Ayres Circle, Portsmouth, NH 03804 | 2007-04-10 |
1982613048 | Jan Vanderlinde | Emergency Medicine | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804 | 2006-08-07 |
1326080250 | Kathy A Long | Physician Assistant | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2006-06-12 |
1831557669 | Andrea Ballard | Nurse Practitioner | 1 Ayer Cir Bldg H1, Portsmouth, NH 03804-4402 | 2016-02-08 |
1508047010 | James Alfred Carroll | Physician Assistant | One Ayer's Circle, Bldg H-1, Portsmouth Naval Shipyard, Naval Branch Health Clinic, Portsmouth, NH 03804-5000 | 2007-11-27 |
Find all providers in zip 03804 |
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 |
---|---|---|---|---|
1255548491 | Daniel Wayne Vanskyhawk II | Military Health Care Provider | 414 Concord Rd, Portsmouth, VA 23701-2231 | 2007-05-17 |
1306825344 | Shannon Elizabeth Gaffney | Military Health Care Provider | 4000 Coast Guard Blvd, Portsmouth, VA 23703-2135 | 2006-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689167819 | Michelle Reynolds | Military Health Care Provider | 14 Beechwood Rd, Hudson, NH 03051-3401 | 2018-06-12 |
City | PORTSMOUTH |
Zip Code | 03804 |
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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.