MICHAEL DAWAYNE WHITE


Address: Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333
Phone: (334) 255-7409

MICHAEL DAWAYNE WHITE (NPI# 1508396300) 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) 1508396300
Entity Type Individual
Full Name MICHAEL DAWAYNE WHITE
Credential NREMTP
Practice Address Bldg 301 Andrews Ave.
Lyster Army Health Clinic
Fort Rucker
AL 36362-5333
Mailing Address Bldg 301 Andrews Ave.
Lyster Army Health Clinic
Fort Rucker
AL 36362
Practice Telephone (334) 255-7409
Mailing Telephone 3342557409
Enumeration Date 2017-06-14
Last Update Date 2017-06-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146L00000X Emergency Medical Technician, Paramedic M5030908 TX Emergency Medical Service Providers

Other Providers MICHAEL WHITE

NPI Name Taxonomy Address Enumeration
1932690492 Michael White Social Worker 1009 Post Rd, Warwick, RI 02888-3362 2018-05-21
1598278962 Michael White Physical Therapist 406r Washington St, Holliston, MA 01746-1342 2017-11-08
1245740471 Michael White Physical Therapist 800 Goodlette Rd N Ste 140, Naples, FL 34102-5402 2017-10-02
1952835803 Michael White Specialist/Technologist 2417 Stroup Rd, Atwater, OH 44201-9100 2017-04-18
1215383104 Michael White Technician, Health Information 301 Valley Mall Way, 110, Mount Vernon, WA 98273-5462 2016-05-10
1093101537 Michael White Home Health 15414 Hubbell St, Detroit, MI 48227-2968 2015-04-11
1518379650 Michael White Jr. Registered Nurse 16134 Collinson Ave, Eastpointe, MI 48021-3651 2014-05-23
1871936823 Michael Hugh White Pediatrics 5461 Meridian Mark Road Ne, Suite 400, Atlanta, GA 30342 2013-04-09
1851644496 Michael Yarbrough White Jr. Behavioral Analyst 2068 N Nellis Blvd Apt 158, Las Vegas, NV 89115-5562 2012-10-19
1174875165 Michael Gene White Pharmacist 1615 West Main St, Albert Lea, MN 56007 2012-10-15

Office Location

Street Address BLDG 301 ANDREWS AVE.
LYSTER ARMY HEALTH CLINIC
City FORT RUCKER
State AL
Zip Code 36362-5333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386812964 Judith Annette Barnes Specialist/Technologist, Other Bldg 301 Andrews Ave., Fort Rucker, AL 36362 2008-02-15
1770013666 Hoang Huy Nguyen Emergency Medical Technician, Basic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-06-14
1972049179 Omar Ruizalvarez Emergency Medical Technician, Basic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2017-01-11
1043766868 George Shreffler Emergency Medical Technician, Basic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-08-31
1972969103 Crystal Hawkins Technician, Other Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2016-01-04
1346620515 Gavan Erwin Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-06-03
1316339401 Andrew Parker Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-02-26
1457749715 Christopher Herrell Emergency Medical Technician, Paramedic Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2015-01-08
1821342288 Patricia A. Sherman Licensed Practical Nurse Bldg 301 Andrews Ave., Fort Rucker, AL 36362 2012-11-06
1649418468 James Ephland Smith Technician Bldg 301 Andrews Ave., Lyster Army Health Clinic, Fort Rucker, AL 36362-5333 2009-02-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
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
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Taxonomy Information

Taxonomy Code 146L00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Paramedic

Taxonomy Definition

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770830960 Dewayne Carl Haverstick Emergency Medical Technician, Paramedic 453 South Novacel Dr, Fort Rucker, AL 36362 2012-08-07
1124339288 James Farris Lynn Washington Emergency Medical Technician, Paramedic 453 S Novasel St, Fort Rucker, AL 36362-5109 2010-06-23
1720304454 Stephen L Demeter Emergency Medical Technician, Paramedic 8360 3rd Ave, Fort Rucker, AL 36362-2025 2010-04-20
1558526889 David George Lambert Emergency Medical Technician, Paramedic Bldg 301 A Andrews Ave, Fort Rucker, AL 36362 2008-07-25
1598933806 Mark William Davis Emergency Medical Technician, Paramedic Andrews Ave., Building 301, Fort Rucker, AL 36362 2008-02-20
1376014480 Patrick Gabriel Lawson Emergency Medical Technician, Paramedic Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-12-16
1013483122 Michael A Bishop I Emergency Medical Technician, Paramedic Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362 2018-10-16
1225522543 Ryan Mark Asca Emergency Medical Technician, Paramedic Lyster Army Health Clinic, Building 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-06-20
1427547868 John Louis Bates Emergency Medical Technician, Paramedic Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-05-01
1366942120 Damian A Schwab Emergency Medical Technician, Paramedic Lyster Army Health Clinic, Bldg 301 Andrews Ave, Fort Rucker, AL 36362-5333 2018-02-19
Find all providers in FORT RUCKER

Competitor

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City FORT RUCKER
Zip Code 36362

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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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