MR. ROBERTO OCAMPO GUTIERREZ


Address: Mdos, Unit 5227, Apo, AP 96328
Phone: 3152257265

MR. ROBERTO OCAMPO GUTIERREZ (NPI# 1720221948) 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) 1720221948
Entity Type Individual
Full Name MR. ROBERTO OCAMPO GUTIERREZ
Credential IDMT
Practice Address Mdos
Unit 5227
Apo
AP 96328
Mailing Address Psc 78
Box 257
Apo
AP 96326-0078
Practice Telephone 3152257265
Enumeration Date 2009-04-17
Last Update Date 2009-04-17
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

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1023354529 Roberto J Gutierrez Internal Medicine 3223 Harlem Ave, Berwyn, IL 60402-2807 2013-01-02
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1770870198 Roberto Gutierrez Physical Therapy Assistant 5301 William D Tate Ave, Grapevine, TX 76051-7357 2011-07-06

Office Location

Street Address MDOS
UNIT 5227
City APO
State AP
Zip Code 96328

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740520337 Cindy L Lan Dentist 374th Dental Squadron Yokota Ab, Apo, AP 96328 2013-02-19
1679834964 Joshua W Donart Internal Medicine 374 Medical Group Internal Medicine Clinic, Unit 5071 Bldg 4408, Apo, AP 96328 2012-06-03
1306071048 Jason Frederick Koesters Dentist 374 Mdg, Unit 5071, Apo, AP 96328 2009-05-26
1285877498 Stephen Jerome White Military Health Care Provider 374 Msgs/sgne, Unit 5071, Apo, AP 96328 2009-04-17
1396900536 Jay Matthew Butler Optometrist 374th Medical Group/optometry, Yokota Air Base, Japan, Apo, AP 96328 2008-07-28
1689708588 Wendy Irelan Conway Obstetrics & Gynecology 374 Mdg/sgopo, Unit 5071, Apo, AP 96328 2007-03-15
1154427631 Von F. Borg Counselor Yokota Air Base, Unit 5071, Apo, AP 96328 2006-09-15
1649294810 Doris Ann Boyd Social Worker 374 Mdos/sgomhf, Unit 5227, Apo, AP 96328 2006-07-27
1073558961 Melissa L Tennant Physical Therapist Yokota Ab, Japan, Unit 5071, Apo, AP 96328 2006-06-17
1114984101 Chu Hyon Soh Physical Therapist 374 Mdos/sgosy, Unit 5227, Apo, AP 96328 2006-04-26
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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
1174166656 Samuel Mow Military Health Care Provider Landshul Regional Medical Center, Apo, AE 09180 2019-10-28
1881245967 Grant M Golombeski Military Health Care Provider 300 S Twinning Dr., Apo, AA 36112 2019-09-20
1346711579 Jimbell Gray Military Health Care Provider Building #932, Apo, AE 09464 2018-12-16
1942784442 Christopher Allen Foster Military Health Care Provider 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 2018-09-20
1497294359 Ryan Springer Military Health Care Provider Psc 41 Box 2116, Apo, AE 09464-0022 2017-02-13
1205387081 Joshua Gratz Military Health Care Provider 48mdh/sghc Unit 5115, Apo, AE 09461 2016-10-17
1316322506 Andrew Bowers Military Health Care Provider Psc 2, Box 8707, Apo, AE 09012 2015-07-29
1689060311 Kody Whiteside Military Health Care Provider 99 Friendship Bldv, Apo, AP 96319-0061 2015-04-09
1912392333 Jennifer Chilson Military Health Care Provider Bldg 3531 Unit 5247 B 10, Apo, AP 96368 2015-04-02
1720409675 Emily Porter Military Health Care Provider Psc 17 Box 66, Apo, AE 09214-0001 2013-12-19
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Competitor

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City APO
Zip Code 96328

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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