EDWARDSON A AQUINO


Address: 5497 Langley Way Sw Unit B, Bolling Afb, DC 20032-7670
Phone: 2405876174

EDWARDSON A AQUINO (NPI# 1437393618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437393618
Entity Type Individual
Full Name EDWARDSON A AQUINO
Practice Address 5497 Langley Way Sw Unit B
Bolling Afb
DC 20032-7670
Practice Telephone 2405876174
Enumeration Date 2009-05-01
Last Update Date 2009-05-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 5497 LANGLEY WAY SW UNIT B
City BOLLING AFB
State DC
Zip Code 20032-7670

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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760944953 Torrian Tatum Military Health Care Provider 238 Brookley Ave Sw Bldg 1300, Bolling Afb, DC 20032-7704 2019-04-05
1467785790 David Brian Sowers Military Health Care Provider 238 Brookley Ave, Bolling Afb, DC 20032 2009-09-18
1023245560 Chad Michael Smith Military Health Care Provider 238 Brookley Ave, Bolling Afb, DC 20032 2009-06-11
1982846416 Michael James Anderson Military Health Care Provider 110 Luke Ave, Afmsa/sg3p, Bolling Afb, DC 20032 2009-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689107351 Donise Wiggins Military Health Care Provider 2234 S St Se Apt 1, Washington, DC 20020-4503 2017-04-09
1164522280 Mark Magrino Military Health Care Provider Cg-1122 Uscg Hq Comdt, 2100 2nd St Sw, Washington, DC 20593-0001 2006-09-25

Competitor

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City BOLLING AFB
Zip Code 20032

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Dataset Information

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.

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