MR. TIMOTHY J RASO IV


Address: 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602
Phone: 2406121757

MR. TIMOTHY J RASO IV (NPI# 1679707160) 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) 1679707160
Entity Type Individual
Full Name MR. TIMOTHY J RASO IV
Credential IDMT
Practice Address 1060 W Perimeter Rd
Jb Andrews
MD 20762-6602
Practice Telephone 2406121757
Mailing Telephone 2406121757
Enumeration Date 2009-05-12
Last Update Date 2019-10-16
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 1060 W PERIMETER RD
City JB ANDREWS
State MD
Zip Code 20762-6602

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083214894 Richard Allen Ypina Jr. Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-30
1417554577 Meaghan Mccarthy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-01
1598384182 Brian Sanders Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-04-13
1770102667 Esther Solano Psychologist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-04-11
1386276558 Robert Wittwer Nurse Anesthetist, Certified Registered 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-02-06
1538790407 Staci Mcnair Nurse Practitioner 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-01-30
1700447182 Patricia Szmuc Pharmacist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-06-26
1447813175 Keara Washington Psychologist 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-04-18
1871052126 Carmen Alexandra Maffucci Physician Assistant 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2019-03-17
1093213878 Timothy Michael Mcsheehy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2018-01-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982210423 Kevin Wang Dentist 1057 W Perimeter Rd, Prince County, MD 20762 2020-09-21
1306467667 Priscilla Andalia Student in an Organized Health Care Education/Training Program 1065 W. Perimeter Road, Jb Andrews, MD 20762 2020-04-28
1275162877 Gabi Im Dentist 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 2020-04-06
1083240139 Shirley Ye Student in an Organized Health Care Education/Training Program 1025 Boston Rd, Joint Base Andrews, MD 20762 2020-03-20
1255988853 Songxuan Zhou Niemtzow Acupuncturist Acupuncture Center and Integrative Medicine Center, 1060 West Perimeter Road, Joint Base Andrews, MD 20762 2019-08-20
1487010971 Tracy Ellen Ambos Social Worker 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 2016-01-13
1154718450 Ryan Mason Kring Emergency Medicine Malcolm Grow Medical Clinics, 1060 W Perimeter Rd, Joint Base Andrews, MD 20762 2015-04-24
1518206044 Jeremy Gallman Veterinarian 1781 Arnold Ave., Joint Base Andrews, MD 20762 2013-02-04
1043556418 Kimberly Mccoy-singh Physical Therapist 1075 West Perimeter Rd., 779 Mdos/sgoy, Joint Base Andrews, MD 20762 2012-12-12
1417215799 Alexander Rostam Kheradi Emergency Medicine 1050 West Perimeter Road, Joint Base Andrews, MD 20762 2012-04-24
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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 city

NPI Name Taxonomy Address Enumeration
1083214894 Richard Allen Ypina Jr. Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-30
1417554577 Meaghan Mccarthy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-10-01
1598384182 Brian Sanders Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2020-04-13
1093213878 Timothy Michael Mcsheehy Military Health Care Provider 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 2018-01-26
1366964058 Amy Louise Florkiewicz Military Health Care Provider 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 2017-07-13
1588022834 Lauren Rakowski Military Health Care Provider 1050 W Perimeter Rd, Jb Andrews, MD 20762-6601 2016-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902406713 Chelsey Lynch-cay Military Health Care Provider 4548 Longfellow St, Hyattsville, MD 20781-1927 2020-10-30
1346840162 Quartez Ricahrdson Military Health Care Provider 250 American Way Apt 535, Oxon Hill, MD 20745-4536 2020-10-30
1427479815 Shannon Renee Tedford Military Health Care Provider 156 Cross Point Dr, Owings, MD 20736-3322 2014-01-02
1790126225 Richard A Reid Military Health Care Provider 16015 Good Meadow Ct, N Potomac, MD 20878 2013-07-12
1295016806 Aundrea F Dyson Military Health Care Provider 7 Sultan Ave., Capital Heights, MD 20743 2011-09-09
1639450091 Melissa Garcia Military Health Care Provider 812 Bunch Ave, Glen Burnie, MD 21060-6955 2011-08-30
1235422205 Jason Randall Brown Military Health Care Provider 612 Admiral Dr Apt 404, Annapolis, MD 21401 2011-05-24
1982915187 Stacy Coleman Military Health Care Provider 1002 Sherman Ct, Waldorf, MD 20602-2923 2010-06-23
1376787903 Johnathan A Paxton Military Health Care Provider West Perimeter Rd Bldg 1050, Malcolm Grow Medical Center, Andrews Afb, MD 20762 2009-04-27
1235542093 Robert Smith Military Health Care Provider 1050 W Perimeter Rd, Andrews Air Force Base, MD 20762-6601 2014-06-09
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Competitor

Search similar providers

City JB ANDREWS
Zip Code 20762

Improve Information

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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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