JEFFREY ALAN UTZ (NPI# 1518510528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518510528 |
Entity Type | Individual |
Full Name | JEFFREY ALAN UTZ |
Practice Address |
35 Mdg Misawa Misawa AOMORI 96319 JP |
Mailing Address |
4879 Mayfield Rd Orwell OH 44076-9754 |
Practice Telephone | 3308560291 |
Mailing Telephone | 3308560291 |
Enumeration Date | 2019-07-18 |
Last Update Date | 2019-07-18 |
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 |
35 MDG MISAWA |
City | MISAWA |
State | AOMORI |
Zip Code | 96319 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255828117 | Mary Joy Flores Orias | Counselor | Misawa Ab, Apo, AP 96319 | 2018-04-17 |
1124481742 | Esther Kehinde Ikotun | Social Worker | Psc76, Box8582, Apo, AP 96319 | 2016-03-31 |
1619101375 | Karl Elliott Vanover | Military Health Care Provider | 35 Mdg/sgpf, Unit 5041, Apo, AP 96319 | 2009-05-11 |
1619101870 | John Michael Cronin | Military Health Care Provider | 35 Mdg, Misawa Ab, Japan, Apo, AP 96319 | 2009-05-04 |
1063692135 | Eric C Parkinson | Pediatrics | 35 Mdg Building 99, Apo, AP 96319 | 2007-11-06 |
1972794634 | Daniel Stefan Micsunescu | Obstetrics & Gynecology | 35th Medical Group, Misawa Air Base, Bldg 99, Unit 5024, Apo, AP 96319 | 2007-08-07 |
1427265701 | Sharon H Proctor | Marriage & Family Therapist | Psc 76 Box 3974, Apo, AP 96319 | 2007-05-17 |
1073619656 | Laura Jean Ryan | Social Worker | Unit 5024, Apo, AP 96319 | 2006-09-15 |
1649291139 | James Albert Dombrowski | Orthopaedic Surgery | Psc 76, Box 6735, Apo, AP 96319 | 2006-07-21 |
1457314338 | Young Kun Sung | Dentist | Psc 76 Box, Apo, AP 96319 | 2006-04-11 |
Find all providers in zip 96319 |
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] |
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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.