MR. LUIS MEDINAREYES (NPI# 1578085213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578085213 |
| Entity Type | Individual |
| Full Name | MR. LUIS MEDINAREYES |
| Practice Address |
Uss Donald Cook (ddg 75) Unit 100516 Box 1 Fpo AE 09566 |
| Mailing Address |
3966 60th St Unit 52 San Diego CA 92115-6554 |
| Practice Telephone | 7578168076 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2017-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
USS DONALD COOK (DDG 75) UNIT 100516 BOX 1 |
| City | FPO |
| State | AE |
| Zip Code | 09566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1770025082 | Andrew Campbell | Military Health Care Provider | Uss Cole (ddg 67), Unit 100303 Box 1, Fpo, AE 09566 | 2016-11-17 |
| 1669605093 | David D Taylor | Military Health Care Provider | Attn: Medical, Uss Carr (ffg 52), Fpo, AE 09566 | 2009-09-02 |
| 1932171303 | Wing L Leong | Emergency Medicine | Uss Carl Vinson (cvn 70), Fpo, Ae, VA 09566 | 2006-02-01 |
| 1568463024 | Gary Michael Cummings | Dentist | Uss Carl Vinson Cvn-70, Dental Department, Fpo Ae, VA 09566 | 2005-08-09 |
| 1427241793 | Kimberly Edwards | Dental Hygienist | Uss Carl Vinson, Cvn 70, Fpo, AE 09566 2840 | 2007-08-21 |
| 1760419642 | Patrick Adriel Modglin | Military Health Care Provider | Uss Cape St George Cg 71, Medical Department, Fpo, AE 09566-1191 | 2006-06-27 |
| 1932433901 | Anthony Craig Winkler | Military Health Care Provider | Uss Donald Cook Ddg 75, Medical Department, Fpo, AE 09566-1294 | 2009-09-24 |
| 1346449691 | David Edward Rowley | Military Health Care Provider | Uss Carr, Norfolk, USA 09566-1506 | 2007-07-17 |
| 1912965393 | John R Bair | Military Health Care Provider | Uss (ffg 52), Fpo, AE 09566-1506 | 2006-05-03 |
| Find all providers in zip 09566 | ||||
| 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 |
|---|---|---|---|---|
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1639701634 | Stephen Henderson | Military Health Care Provider | 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 | 2020-02-07 |
| 1649810219 | Maxwell Onyedikachi Osisioma | Military Health Care Provider | Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 | 2020-01-13 |
| 1508406273 | Daniel Levin | Military Health Care Provider | 3d Recon Bn Aid Station, Fpo, AP 96389-6189 | 2020-01-10 |
| 1053955609 | Christopher Zartman | Military Health Care Provider | Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 | 2019-11-06 |
| 1912553975 | Brandon Joseph Dapper | Military Health Care Provider | Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 | 2019-08-15 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| Find all providers in FPO | ||||
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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.