CHRISTOPHER LEE ENDRES


Address: 527 Gott Road, Vance Clinic, Vance Afb, OK 73705
Phone: 5802137919

CHRISTOPHER LEE ENDRES (NPI# 1699074013) 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) 1699074013
Entity Type Individual
Full Name CHRISTOPHER LEE ENDRES
Practice Address 527 Gott Road
Vance Clinic
Vance Afb
OK 73705
Practice Telephone 5802137919
Enumeration Date 2011-03-24
Last Update Date 2011-03-24
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 527 GOTT ROAD
VANCE CLINIC
City VANCE AFB
State OK
Zip Code 73705

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578128070 Jason Ruggieri Psychologist 527 Gott Road, Bldg 816, Enid, OK 73705-5103 2019-05-09
1831556455 Jennifer Anne Barclay Pediatrics 527 Gott Rd Bldg 810, Enid, OK 73705-5103 2016-01-27
1043200793 David Barnard Family Medicine 527 Gott Rd, Enid, OK 73705-5103 2005-10-25
1184225138 Danielle Young Social Worker 527 Gott Rd, Enid, OK 73705-5103 2020-11-05
1598301277 Anh N Ison Pharmacist 527 Gott Rd, Enid, OK 73705-5103 2019-11-18
1336792340 Liam Connall Noone Military Health Care Provider 527 Gott Rd, Enid, OK 73705-5103 2019-07-18
1225598980 Andrew Jonathan Carey Military Health Care Provider 527 Gott Rd, Enid, OK 73705-5103 2019-03-20
1801306188 Scott Lynn Chance Pharmacist 527 Gott Rd, Enid, OK 73705-5103 2017-10-02
1114458957 Chang Liu Lipinski Family Medicine 527 Gott Rd, Enid, OK 73705-5103 2017-03-23
1417349697 Usaf Military Hospital 527 Gott Rd, Enid, OK 73705-5103 2015-02-25
Find all providers in zip 73705

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
1760969083 Dylan Preister Military Health Care Provider 1700 Mosher Dr Apt 214, Enid, OK 73703-6842 2018-07-20
1356685770 Nedjet Martinez Military Health Care Provider 5925 Se 66th St, Oklahoma City, OK 73135-3603 2012-11-26
1023364676 Cheila Taina Rodriguez Military Health Care Provider 7156 Nabors Dr Apt C, Tinker Afb, OK 73145-4584 2012-08-01
1427341163 Jamilei Michelle Alworden Long Military Health Care Provider #6 Sallisaw View Dr, Sallisaw, OK 74955 2011-05-26
1306137328 Nazish R Naqvi Military Health Care Provider 4101 Nw Expressway Apt 16096, Oklahoma City, OK 73116-1603 2011-04-25
1760780118 Andrea R Stobbe Military Health Care Provider 1301 Linwood St, Weatherford, OK 73096-2415 2011-03-09
1336792340 Liam Connall Noone Military Health Care Provider 527 Gott Rd, Enid, OK 73705-5103 2019-07-18
1265954952 Mark Gosnell Jr. Military Health Care Provider 7050 Air Depot Blvd, Tinker Afb, OK 73145-8716 2017-07-13
1932567286 Michael John-paul Triana Military Health Care Provider 301 N 1st St, Altus, OK 73523-5004 2016-02-02
1811318751 Bridget Williams Military Health Care Provider 7050 Air Depot Blvd, Bldg 1094, Tinker Afb, OK 73145-8716 2013-12-19
Find all providers with the same taxonomy

Competitor

Search similar providers

City VANCE AFB
Zip Code 73705

Improve Information

Please comment or provide details below to improve the information on CHRISTOPHER LEE ENDRES.

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.

Trending Searches