JESSE FOWLER (NPI# 1700279015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700279015 |
| Entity Type | Individual |
| Full Name | JESSE FOWLER |
| Practice Address |
Psc 851 Box 340 Fpo AE 09834-0004 |
| Mailing Address |
6260 Sun Blvd Apt 2 St Petersburg FL 33715-1009 |
| Practice Telephone | 7273739487 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
PSC 851 BOX 340 |
| City | FPO |
| State | AE |
| Zip Code | 09834-0004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376872531 | Adam M Preston | Optometrist | Psc 851 Box 340, Fpo, AE 09834-0004 | 2009-12-17 |
| 1134670854 | Ashley Ann Martin | Dentist | Psc 851 Box 340, Fpo, AE 09834-0004 | 2016-10-18 |
| 1225428295 | Jesse Gilley | Social Worker | Psc 851 Box 340, Fpo, AE 09834-0004 | 2015-01-29 |
| 1932510377 | Samantha Irene Clark | Military Health Care Provider | Psc 851 Box 340, Fpo, AE 09834-0004 | 2014-05-19 |
| 1588092597 | Jhandi Finnel | Military Health Care Provider | Psc 851 Box 340, Fpo, AE 09834-0004 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508142076 | Jennifer Haunani Chong Drake | Acupuncturist | Psc 851 Box 1072, Fpo, AE 09834 | 2011-10-28 |
| 1770782013 | Robert Edwin Brown | Military Health Care Provider | Nswu 3, Pcs 451 Box 460, Fpo, AE 09834 | 2007-07-17 |
| 1831397744 | Aaron Michael Rich | Military Health Care Provider | Nswu3, Psc451 Box 460, Fpo, AE 09834 | 2007-07-03 |
| 1265402945 | Ramon Apuyan Cabungcal | Dentist | Branch Health Clinic Bahrain, Psc 451 Box 340, Fpo- Ae, BAHRAIN 09834 | 2006-01-25 |
| 1306826573 | Christopher J. Mcarthur | Family Medicine | Psc 451, Box 340, Fpo, AE 09834 | 2006-01-22 |
| 1982884581 | Lashawn Michelle Young | Military Health Care Provider | Psc 451 Box 340, Medical, Fpo, AE 09834 | 2007-11-12 |
| 1497725428 | Brice Anthony Goodwin | Psychologist | Psc 451 Box 340, Fpo, AE 09834 | 2006-01-24 |
| 1134633571 | Laura Marie Smith | Speech-Language Pathologist | Nsa Bahrain, Naval Branch Health Clinic Bahrain - Edis, Fpo, AE 09834-0004 | 2017-11-21 |
| 1356719157 | Eric Henderson | Social Worker | Navy Branch Health Clinic, Psc 851 Box 340, Fpo, AE 09834-0004 | 2015-09-10 |
| 1811182959 | Branch Medical Clinic Bahrain | Clinic/Center | Psc 851, Box 340, Fpo, AE 09834-0004 | 2007-09-12 |
| Find all providers in zip 09834 | ||||
| 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 |
|---|---|---|---|---|
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1639701634 | Stephen Henderson | Military Health Care Provider | 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 | 2020-02-07 |
| 1649810219 | Maxwell Onyedikachi Osisioma | Military Health Care Provider | Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 | 2020-01-13 |
| 1508406273 | Daniel Levin | Military Health Care Provider | 3d Recon Bn Aid Station, Fpo, AP 96389-6189 | 2020-01-10 |
| 1053955609 | Christopher Zartman | Military Health Care Provider | Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 | 2019-11-06 |
| 1912553975 | Brandon Joseph Dapper | Military Health Care Provider | Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 | 2019-08-15 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| Find all providers in FPO | ||||
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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.