JEFFREY ALAN UTZ


Address: 35 Mdg Misawa, Misawa, AOMORI 96319, JP
Phone: 3308560291

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).

Provider Overview

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

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 35 MDG MISAWA
City MISAWA
State AOMORI
Zip Code 96319

Providers in the same zip code

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
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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]

Competitor

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City MISAWA
Zip Code 96319

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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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