JAN RAINIER ANOVA (NPI# 1497004840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497004840 |
| Entity Type | Individual |
| Full Name | JAN RAINIER ANOVA |
| Credential | IDC |
| Practice Address |
250 Wood Rd Annapolis MD 21402-1257 |
| Practice Telephone | 6197817024 |
| Mailing Telephone | 6197817024 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
250 WOOD RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21402-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077847 | Jitendrakumar Rajnikant Modi | Pediatrics | 250 Wood Rd, Nhcl Annapolis (pediatrics), Annapolis, MD 21402-1257 | 2005-07-19 |
| 1164776597 | Jennifer Christine Griffeth | Dentist | 250 Wood Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402-1257 | 2012-11-07 |
| 1720350135 | Amelia Ross Olson | Physician Assistant | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-01-31 |
| 1629349394 | John Davod Munyan | Military Health Care Provider | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-01-26 |
| 1053614891 | Christian Alan Shotwell | Clinical Nurse Specialist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2010-12-17 |
| 1477782480 | Brittany Juree Klass | Optometrist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2009-07-11 |
| 1164578399 | Eileen S Tidd | Internal Medicine | 250 Wood Rd, Annapolis, MD 21402-1257 | 2007-01-29 |
| 1942309364 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-09-22 |
| 1528013414 | Naval Health Clinic Annapolis | Clinic/Center | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-05-23 |
| 1669439519 | Reginald S. Ewing | Pediatrics | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404656 | Karen Ruth Taylor | Social Worker | Usna - Midshipmen Development Center, Bancroft Hall 8m38a, Annapolis, MD 21402 | 2016-05-06 |
| 1710974902 | Ruben Del Pilar | Family Medicine | Naval Health Clinic Annapolis, 250 Wood Road, Annapolis, MD 21402 | 2005-10-03 |
| 1891789137 | Raymond Donald Chronister | Specialist/Technologist | Physical Education, Field House, U. S. Naval Academy, Annapolis, MD 21402 | 2005-09-01 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 1619303484 | Melanie Cooper Carmody | Pharmacist | 250 Wood Road, Nhc Annapolis, Annapolis, MD 21402 | 2013-09-24 |
| 1770599060 | Collette Stevenson | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-31 |
| 1447272505 | Michelle M. Decker | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1851313936 | Eunice Smith | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1316229701 | Shields Vision | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2011-09-13 |
| 1124259718 | Anchor Eyecare Annapolis | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2009-07-31 |
| Find all providers in zip 21402 | ||||
| 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 |
|---|---|---|---|---|
| 1902151293 | Christina Claypool | Military Health Care Provider | 695 Kinkaid Rd, Annapolis, MD 21403 | 2012-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143919 | Milton Mcintyre Brown Iv | Military Health Care Provider | 12610 Chanler Ln, Bowie, MD 20715-1302 | 2020-08-07 |
| 1548666415 | Janet Oliva | Military Health Care Provider | 6305 Riverdale Rd, Riverdale, MD 20737-2105 | 2014-11-05 |
| 1740693324 | Benjamin Graves | Military Health Care Provider | 3399 Strauss Ave Bldg 901, Indian Head, MD 20640-5164 | 2014-06-11 |
| 1497009187 | Devin P Sweet | Military Health Care Provider | 5813 Chinquapin Pkwy, 1st Floor, Baltimore, MD 21239-2555 | 2012-11-01 |
| 1083980932 | Ernest Theophilus Quimby Iv | Military Health Care Provider | Walter Reed Nmmc, Bldg 1 Suite 5103 8955 Wood Road, Bethesda, MD 20889-5628 | 2012-03-26 |
| 1447557202 | Louis Florentine Gonzales | Military Health Care Provider | 28k Queen Mary Ct, Chester, MD 21619-2528 | 2011-02-14 |
| 1497918635 | David Paul Horvath | Military Health Care Provider | 3399 Strauss Ave Ste 219, Indian Head, MD 20640-5164 | 2008-07-08 |
| 1932383593 | Michael A Walls | Military Health Care Provider | 3399 Strauss Ave, Suite 219, Indian Head, MD 20640-5164 | 2007-12-19 |
| 1316147457 | Michael Waters | Military Health Care Provider | 14900 Park Central Road, Naval Support Facility, Thurmont, MD 21788 | 2007-07-18 |
| 1538362041 | Elizabeth Ann Davenport | Military Health Care Provider | 734 Carpenter Park Apt A, Patuxent River, MD 20670-1308 | 2007-06-11 |
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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.