JACOB MICHAEL LEZON (NPI# 1417589268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417589268 |
| Entity Type | Individual |
| Full Name | JACOB MICHAEL LEZON |
| Practice Address |
30501 Nevins St. Ft. Rucker AL 36362 |
| Practice Telephone | 3342558071 |
| Mailing Telephone | 3342558071 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | E3497387 | TX | Emergency Medical Service Providers |
| Street Address |
30501 NEVINS ST. |
| City | FT. RUCKER |
| State | AL |
| Zip Code | 36362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745571 | Rachel Kestler | Specialist | 4102 Gadiator Street, Fort Rucker, AL 36362 | 2020-09-22 |
| 1225535388 | Rhonda Lewis Wesolek | Dental Hygienist | Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 | 2018-04-06 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1750730958 | Teresa Morgan Knighten | Dental Hygienist | 4405 Innkeepers St, Fort Rucker, AL 36362 | 2016-06-08 |
| 1568826246 | David Virgil II | Technician, Other | 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 | 2016-04-08 |
| 1356771257 | Robert E Smith | Emergency Medical Technician, Intermediate | Blding 301 Andrew Ave, Ft Rucker, AL 36362 | 2013-11-14 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1689913808 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Fort Rucker Bldg. 9214, Daleville, AL 36362 | 2013-02-07 |
| 1275880205 | Sandra Lynn Griffin Banner | Optometrist | 33 Endl Ave, Fort Rucker, AL 36362 | 2012-08-09 |
| 1770830960 | Dewayne Carl Haverstick | Emergency Medical Technician, Paramedic | 453 South Novacel Dr, Fort Rucker, AL 36362 | 2012-08-07 |
| Find all providers in zip 36362 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700195229 | Joseph William Baltz | Emergency Medical Technician, Basic | Bldg 301 Andres Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2010-10-01 |
| 1154638963 | Joshua Aaron Creel | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2010-09-01 |
| 1831377621 | Jonathan W Swearingin | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave., Ft. Rucker, AL 36362 | 2008-02-05 |
| 1649604349 | Jason Stewart Haller | Emergency Medical Technician, Basic | Bld 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-29 |
| 1073945317 | Eric Joiner | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-08-08 |
| 1417393794 | Derek James Adams Sr. | Emergency Medical Technician, Basic | Building 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2013-05-14 |
| 1134409956 | Bryan Glen Prince | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2011-08-24 |
| 1245549542 | Philip Logan Fleming | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft. Rucker, AL 36362 | 2010-10-04 |
| 1376872218 | Tabatha Renee Turner | Emergency Medical Technician, Basic | Bldg. 301 Andrews Ave., Lyster Army Health Clinic, Ft. Rucker, AL 36362-5333 | 2009-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902440514 | Aaron William Laube | Emergency Medical Technician, Basic | 28 Galt Ln, Fort Rucker, AL 36362-2304 | 2019-11-06 |
| 1528615408 | Zeronica Freeman Mayo | Emergency Medical Technician, Basic | 608 Dogwood Ave, Opelika, AL 36801-7006 | 2019-08-24 |
| 1659812733 | Rebecka Nisbet | Emergency Medical Technician, Basic | Andrews Avenue Building 301, Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2017-03-09 |
| 1720493620 | Nathan Kennedy | Emergency Medical Technician, Basic | 8350 3rd Ave Unit 284, Fort Rucker, AL 36362-2039 | 2014-06-30 |
| 1477978609 | Stacey Fleming | Emergency Medical Technician, Basic | 1603 5th Ave N, Birmingham, AL 35203-1922 | 2014-02-25 |
| 1548503469 | Lindsey Taylor Mendenhall | Emergency Medical Technician, Basic | Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2013-03-28 |
| 1194065805 | Brian Joseph Butler | Emergency Medical Technician, Basic | Bulding 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2013-02-18 |
| 1568718955 | Daniel Joseph Grondin | Emergency Medical Technician, Basic | Lyster Army Health Clinc, Bldg 301 Andrews Ave, Ft Rucker, AL 36362-5333 | 2012-08-03 |
| 1588922108 | Zachary Thomas Fennell | Emergency Medical Technician, Basic | Building 301, Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 | 2012-05-02 |
| 1659657666 | Patrick Anthony Bronson | Emergency Medical Technician, Basic | Bld. 301 Andrews Avn., Fort Rucker, AL 36362-4444 | 2011-10-24 |
| Find all providers with the same taxonomy | ||||
| City | FT. RUCKER |
| Zip Code | 36362 |
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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.