MARK DAVID NARDUZZI


Address: 5722 Integrity Dr, Bldg S-771, Millington, TN 38054-5028
Phone: 9018746100

MARK DAVID NARDUZZI (NPI# 1669674818) 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) 1669674818
Entity Type Individual
Full Name MARK DAVID NARDUZZI
Credential IDC
Practice Address 5722 Integrity Dr
Bldg S-771
Millington
TN 38054-5028
Practice Telephone 9018746100
Practice Fax Number 9018746104
Mailing Telephone 9018746100
Mailing Fax Number 9018746104
Enumeration Date 2007-06-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

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 5722 INTEGRITY DR
BLDG S-771
City MILLINGTON
State TN
Zip Code 38054-5028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124004601 David Lynn Bell Jr. Dentist 5722 Integrity Dr, Nbhc Nsa Mid-south, Millington, TN 38054-5028 2005-12-16
1609234509 Meoshe Beckworth Physician Assistant 5722 Integrity Dr, Building S-771, Millington, TN 38054-5028 2016-02-05
1144690603 Thomas Korte Dentist 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 2015-09-28
1508152836 Whitney Pugh Millican Nurse Practitioner 5722 Integrity Dr, Millington, TN 38054-5028 2011-06-24
1730339276 Ann Morgan Macdonald Optometrist 5722 Integrity Dr, Nbhc Nsa Mid-south, Millington, TN 38054-5028 2008-09-21
1134380033 Terence C Hilger Dentist 5722 Integrity Dr, B S-771 Nav Sup Act Mid South, Millington, TN 38054-5028 2008-06-23
1730367020 Alexander Joseph Mabile IIi Military Health Care Provider 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 2008-02-08
1295926160 Naval Hospital Pensacola Military/U.S. Coast Guard Pharmacy 5722 Integrity Dr, Bldg S-771, Millington, TN 38054-5028 2007-08-06
1700960192 Jonathan David Karaman Dentist 5722 Integrity Dr, Millington, TN 38054-5028 2006-10-24
1316049281 Benjamin A B Heverly Military Health Care Provider 5722 Integrity Dr, Millington, TN 38054-5028 2006-09-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073137758 Stephanie Nicole Zuckerman Psychologist Intrepid Street, Bldg. S-771, Millington, TN 38054 2020-05-29
1992243000 Paul Livernois Pharmacist S-752 Tarawa Ave, Millington, TN 38054 2017-02-09
1962751149 Megan Nicole Seay Shelton Dentist 5722 Integrity Drive Building S-771, Millington, TN 38054 2012-09-05
1710208178 Michael W Johns Family Medicine 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 2010-06-18
1053526996 Ira N.b. Davis Optometrist Nex - Midsouth, Bldg S752, Millington, TN 38054 2007-05-14
1487746236 Robert Dennis Preston Jr. Military Health Care Provider Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 2006-09-29
1366486086 National Vision, Inc. Eyewear Supplier (Equipment, not the service) Nex - Navy Support Activity - Memphis, Bldg. S752, Millington, TN 38054 2006-06-15
1710948245 James R Luedtke Technician, Other 5722 Integrity Drive, Bldg S771, Nbhc, Nsa Mid-south, Millington, TN 38054 2006-04-02
1316915333 Charles Barry Collier Military Health Care Provider Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 2006-03-08
1154391977 Jose Calixto De La Pena Family Medicine 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 2006-01-24
Find all providers in zip 38054

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
1891125001 Alexisa M Humphrey Military Health Care Provider 225 Von Karman Rd, Bldg 225, Arnold Afb, TN 37389 2013-11-25
1770854101 Troy Edward Long Military Health Care Provider 8504 Emory Rd Ne, Corryton, TN 37721 2012-01-17
1225321433 Zachary Marker Military Health Care Provider 114 Parham Rd, Martin, TN 38237-7137 2011-05-20
1932334463 Christopher Kevin Mclain Military Health Care Provider 420 Post Ave, 134th Medical Aid Station, Mcghee Tyson Airbase, TN 37777-7602 2009-05-28
1407090517 Robert Louchery Military Health Care Provider 225 Von Karmon, First Street, Arnold Afb, TN 37389 2009-04-21
1558845362 Walter Buckner Military Health Care Provider 420 Post Ave, Louisville, TN 37777-6223 2018-09-18
1104052216 Jack Homer Atkins IIi Military Health Care Provider 420 Post Ave, Louisville, TN 37777-6223 2009-06-03
1811123128 Glen Robert Riley Military Health Care Provider 420 Post Ave, Louisville, TN 37777-6223 2009-06-02

Competitor

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City MILLINGTON
Zip Code 38054

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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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