ANN MARIE SUMMERRISE


Address: 102 Chippenham Dr Apt H, Yorktown, VA 23693-2843
Phone: 2105687135

ANN MARIE SUMMERRISE (NPI# 1598032955) 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) 1598032955
Entity Type Individual
Full Name ANN MARIE SUMMERRISE
Credential IDMT
Practice Address 102 Chippenham Dr Apt H
Yorktown
VA 23693-2843
Practice Telephone 2105687135
Mailing Telephone 2105687135
Enumeration Date 2011-11-29
Last Update Date 2011-11-29
Gender Code F
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 102 CHIPPENHAM DR APT H
City YORKTOWN
State VA
Zip Code 23693-2843

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NPI Name Taxonomy Address Enumeration
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1538495411 Laura Ann Lavold Nurse Practitioner 3212 Hampton Highway, Suite B, Yorktown, VA 23693 2009-10-27
1609024090 Foot Solutions Yorktown Durable Medical Equipment & Medical Supplies 2643 George Washington Memorial Hwy, #c, Yorktown, VA 23693 2008-08-28
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1184836025 Angela Jeanne Giles Social Worker 107-g Little Bay Avenue, Yorktown, VA 23693 2007-05-04
1003950197 John Joseph Sheehan II Optometrist 2601 George Washington Hwy, Family Eyecare, Yotktown, VA 23693 2007-02-20
1356406920 Laurence Allen Warren Dentist 106 Yorktown, Yorktown, VA 23693 2006-12-26
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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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952878365 Justin Felix Military Health Care Provider 4747 W Braddock Rd Apt 3, Alexandria, VA 22311-4722 2018-10-24
1629555792 Christopher R Bowlds Military Health Care Provider 3477 S Utah St, Arlington, VA 22206-1943 2018-07-23
1053809491 James Miller Military Health Care Provider 716 Whisperwood Dr, Newport News, VA 23602-4954 2018-05-01
1225464837 Stephen Mitchell Harris Military Health Care Provider 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 2013-09-16
1104259522 Antoine Lamont Smith Sr. Military Health Care Provider 1260 Shotgun Rd, Chesapeake, VA 23322-4512 2013-08-21
1063851616 Alina J Elliott Military Health Care Provider 119 Kincaid Ln, Hampton, VA 23666-5401 2013-06-17
1821337346 Stefan Langley Military Health Care Provider 212 Apollo Way, Hampton, VA 23665-2492 2013-02-04
1790041192 Ferdinand Nmi Makabata Military Health Care Provider 1406 Hardy Cash Dr, Hampton, VA 23666-2434 2012-04-10
1053688416 Thomas Garrett Cook Military Health Care Provider 384 Watts Ave, Hampton, VA 23665-1822 2011-11-29
1750614723 Joan A Sanchez Military Health Care Provider 1113 Aberdeen Rd, Hampton, VA 23666-4601 2009-09-09
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Competitor

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City YORKTOWN
Zip Code 23693

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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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