COLTON WAYNE DICKENS (NPI# 1376169086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376169086 |
| Entity Type | Individual |
| Full Name | COLTON WAYNE DICKENS |
| Credential | IDMT |
| Practice Address |
5415 N Foster Rd Apt 8306 San Antonio TX 78244-2405 |
| Practice Telephone | 9032937908 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| 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 |
5415 N FOSTER RD APT 8306 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78244-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003398082 | Rhenita Clay | Occupational Therapy Assistant | 6802 Still Lake, San Antonio, TX 78244 | 2018-09-05 |
| 1073004594 | Adam Sumner Dmd Pllc | Dentist | 5975 W Farm To Market Rd 78 #360, San Antonio, TX 78244 | 2018-05-21 |
| 1689181091 | Texas Tens Unlimited Inc. | Durable Medical Equipment & Medical Supplies | 7975 Fm 78, Suite 2, San Antonio, TX 78244 | 2018-01-08 |
| 1699144022 | Rackham Dental LLC | Dentist | 6658 Summer Fest Drive, San Antonio, TX 78244 | 2015-09-16 |
| 1366822421 | Larry Williamson | Counselor | 602 E. Afton Oaks Blvd, San Antonio, TX 78244 | 2015-06-04 |
| 1417334574 | Jamaica D Bates | Counselor | 7134 Elm Trail, San Antonio, TX 78244 | 2015-04-28 |
| 1386984656 | Wal-mart Stores Texas, LLC | Technician/Technologist | 4096 North Foster, San Antonio, TX 78244 | 2013-02-25 |
| 1033459607 | Doris A Mantos | Durable Medical Equipment & Medical Supplies | 7975 Fm 78 Ste 1, San Antonio, TX 78244 | 2013-02-19 |
| 1588822308 | Costance Yvette Staten | Assisted Living Facility | 7000 Gulfshore, San Antono, TX 78244 | 2008-05-29 |
| 1073734679 | Felix H Flores | Physical Therapy Assistant | 4154 Mystic Sunrise, San Antonio, TX 78244 | 2007-05-01 |
| Find all providers in zip 78244 | ||||
| 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 |
|---|---|---|---|---|
| 1407453145 | Ian Frogley | Military Health Care Provider | Jbsa 2230 Hughes Ave, San Antonio, TX 78236-8404 | 2020-10-06 |
| 1861099939 | Andrew Goebel | Military Health Care Provider | 1800 Truemper St, San Antonio, TX 78236-5510 | 2020-10-02 |
| 1588135719 | Alejandro Daniel Perez | Military Health Care Provider | Wilderness Trl & Camp Bullis, San Antonio, TX 78257 | 2018-12-16 |
| 1861969271 | Jose A Sanchez | Military Health Care Provider | 15425 Bobwhite Quail, San Antonio, TX 78253-6621 | 2018-10-24 |
| 1205303617 | Sean Patrick Kearns | Military Health Care Provider | 1980 Horal St Apt 1218, San Antonio, TX 78227-3939 | 2018-10-24 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1083191159 | Chance Daren Riley | Military Health Care Provider | 8838 Dugas Dr Apt 2202, San Antonio, TX 78251-4518 | 2018-07-23 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1871086009 | Jhosselin Pamella Alonzo | Military Health Care Provider | 8655 Datapoint Dr Apt 509, San Antonio, TX 78229-3263 | 2018-06-12 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78244 |
Please comment or provide details below to improve the information on COLTON WAYNE DICKENS.
| 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.