MR. JOSE ANTONIO RODRIGUEZ (NPI# 1699054288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699054288 |
| Entity Type | Individual |
| Full Name | MR. JOSE ANTONIO RODRIGUEZ |
| Credential | IDMT |
| Practice Address |
1050 W Perimeter Rd Andrews Afb MD 20762-6601 |
| Practice Telephone | 2408575425 |
| Mailing Telephone | 2408575425 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053365 | Jose Rodriguez | Chiropractor | 39 Jay St Apt 2, Newark, NJ 07103-3259 | 2020-08-12 |
| 1396356788 | Jose R Rodriguez | Phlebology | 330 W 9th St Ste 5, Hialeah, FL 33010-3865 | 2020-08-11 |
| 1003455429 | Jose Rodriguez | Community Health Worker | 6345 Perkins St, Detroit, MI 48210-2466 | 2020-01-02 |
| 1538710124 | Jose Rodriguez | Technician | 4023 Puffer Trce Apt 44d, Spring Hill, FL 34609-0521 | 2019-09-25 |
| 1851860043 | Jose Rodriguez | Community/Behavioral Health | 514 Atkinson Way, El Paso, TX 79915-2600 | 2018-11-16 |
| 1063920585 | Jose G Rodriguez | Counselor | 300 Urb. Hacienda Concordia, Santa Isabel, PR 00757 | 2018-01-18 |
| 1841706421 | Jose Luis Rodriguez | Massage Therapist | 177 Ave De Diego, San Juan, PR 00927-6310 | 2017-12-19 |
| 1942711072 | Jose Lorenzo Rodriguez | Non-emergency Medical Transport (VAN) | 1898 Nw 69th St, Miami, FL 33147-6914 | 2017-10-16 |
| 1598284820 | Jose Angel Rodriguez Jr. | Nurse Practitioner | Informe Healthcare In, LLC, 8800 Virginia Pl, Merrillville, IN 46410-7109 | 2017-09-19 |
| 1861921991 | Jose L Rodriguez | Psychologist | 1260 N Dutton Ave Ste 225, Santa Rosa, CA 95401-7156 | 2017-06-12 |
| Street Address |
1050 W PERIMETER RD |
| City | ANDREWS AFB |
| State | MD |
| Zip Code | 20762-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114360898 | Lori Lynn Littlejohn | Nurse Anesthetist, Certified Registered | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2013-04-11 |
| 1770838948 | Heidi Derade | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2012-07-13 |
| 1285916601 | Janet Denise Cochran | Social Worker | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2011-09-12 |
| 1497081574 | Lindsay Kate Gregus | Military Health Care Provider | 1050 W Perimeter Rd, Sgoic, Andrews Afb, MD 20762-6601 | 2009-10-26 |
| 1093049827 | Jon Burrill Geno | Nurse Practitioner | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-09-26 |
| 1740419084 | Christopher Clement Rhoney | Military Health Care Provider | 1050 W Perimeter Rd, 779 Mdg/sgn, Andrews Afb, MD 20762-6601 | 2009-07-08 |
| 1689800278 | Dexter Dewayne Robinson | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-06-09 |
| 1942444815 | Erica Marie Jasper | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-23 |
| 1760625040 | Teresa Rollins | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-15 |
| 1255581021 | Thomas Augustine Neal II | Preventive Medicine | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2008-09-29 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20762 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376787903 | Johnathan A Paxton | Military Health Care Provider | West Perimeter Rd Bldg 1050, Malcolm Grow Medical Center, Andrews Afb, MD 20762 | 2009-04-27 |
| 1770838948 | Heidi Derade | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2012-07-13 |
| 1780982132 | Honorata A Fernandez | Military Health Care Provider | 1075 W Perimeter Rd, Andrews Afb, MD 20762-6602 | 2011-03-09 |
| 1497081574 | Lindsay Kate Gregus | Military Health Care Provider | 1050 W Perimeter Rd, Sgoic, Andrews Afb, MD 20762-6601 | 2009-10-26 |
| 1740419084 | Christopher Clement Rhoney | Military Health Care Provider | 1050 W Perimeter Rd, 779 Mdg/sgn, Andrews Afb, MD 20762-6601 | 2009-07-08 |
| 1689800278 | Dexter Dewayne Robinson | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-06-09 |
| 1942444815 | Erica Marie Jasper | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-23 |
| 1760625040 | Teresa Rollins | Military Health Care Provider | 1050 W Perimeter Rd, Andrews Afb, MD 20762-6601 | 2009-04-15 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ANDREWS AFB |
| Zip Code | 20762 |
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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.