JOHN C. DEVINE (NPI# 1659598274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659598274 |
Entity Type | Individual |
Full Name | JOHN C. DEVINE |
Practice Address |
Cgc Vigilant (wmec-617) 9235 Grouper Road Port Canaveral FL 32920 |
Practice Telephone | 3218537176 |
Practice Fax Number | 3217840382 |
Mailing Telephone | 3218537176 |
Mailing Fax Number | 3217840382 |
Enumeration Date | 2007-04-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487177366 | John Devine | Nurse Practitioner | 680 Blairmill Road, Horsham, PA 19044 | 2017-07-21 |
1134366545 | John James Devine | Social Worker | 29 Martel Rd, Springfield, MA 01119-2435 | 2009-01-08 |
1245267640 | John Gilmore Devine | Dentist | 3141 Capital Blvd, Raleigh, NC 27604-3388 | 2006-06-28 |
1033197504 | John B. Devine II | Obstetrics & Gynecology | 8431 Pointe Loop Dr, 2nd Floor, Venice, FL 34293-2232 | 2006-01-05 |
1578566964 | John William Devine | Radiology | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2005-05-31 |
1710541438 | John C Devine | Student in an Organized Health Care Education/Training Program | 101 Manning Dr., Chapel Hill, NC 27514 | 2019-04-29 |
1124585377 | John Patrick Devine | Counselor | 155 Airport Rd, Fitchburg, MA 01420-8142 | 2019-02-25 |
1093253304 | John Devine | Marriage & Family Therapist | 1664 Broadway, El Cajon, CA 92021-5201 | 2017-02-07 |
1467863175 | John Devine | Community Health Worker | 1126 W Foothill Blvd, Ste. 150, Upland, CA 91786-3768 | 2014-05-15 |
1851409866 | John G Devine | Psychiatry & Neurology | 4150 Clement St, 116c, San Francisco, CA 94121-1545 | 2006-08-29 |
Street Address |
CGC VIGILANT (WMEC-617) 9235 GROUPER ROAD |
City | PORT CANAVERAL |
State | FL |
Zip Code | 32920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942520739 | Ez Supply | Durable Medical Equipment & Medical Supplies | 809 West Central Blvd, Cape Canevaral, FL 32920 | 2010-06-03 |
1609193119 | Karina Munoz | Dentist | 5645 N. Atlantic Ave., Suite #108, Cape Canaveral, FL 32920 | 2010-04-23 |
1386766020 | Amanda Reneau Lovell | Licensed Practical Nurse | 7008 Sevilla Ct, Apt 206, Cape Canaveral, FL 32920 | 2007-04-04 |
1902809106 | Homi S Cooper | Preventive Medicine | 390 Challenger Road, Cape Canaveral, FL 32920 | 2005-05-23 |
1013035070 | Nitin M Hate | Preventive Medicine | 390 Challenger Road, Cape Canaveral, FL 32920 | 2007-03-27 |
1467878231 | Katie Blizzard | Occupational Therapy Assistant | 106 E Central Blvd, Cape Canaveral, FL 32920-2606 | 2014-03-17 |
1598237869 | Gasnet Inc | Nurse Anesthetist, Certified Registered | 355 Polk Ave Apt 7, Cape Canaveral, FL 32920-3061 | 2018-12-26 |
1851809800 | Tiffany Garcia | Assistant Behavior Analyst | 7201 Ridgewood Ave Apt 21, Cape Canaveral, FL 32920-3175 | 2018-01-11 |
1841473246 | Amy Miller | Nurse's Aide | 212 Lincoln Ave, Suite # 3, Cape Canaveral, FL 32920-3297 | 2007-12-10 |
1912522988 | Lauren Geiger | Behavior Technician | 8401 N Atlantic Ave Apt A12, Cape Canaveral, FL 32920-3526 | 2020-06-15 |
Find all providers in zip 32920 |
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 |
---|---|---|---|---|
1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
Find all providers with the same taxonomy |
City | PORT CANAVERAL |
Zip Code | 32920 |
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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.