DAVID MONTIJO (NPI# 1740799576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740799576 |
| Entity Type | Individual |
| Full Name | DAVID MONTIJO |
| Practice Address |
4430 Missouri Ave Fort Leonard Wood MO 65473-9098 |
| Practice Telephone | 5735961768 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | Emergency Medical Service Providers |
| Street Address |
4430 MISSOURI AVE |
| City | FORT LEONARD WOOD |
| State | MO |
| Zip Code | 65473-9098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225083249 | General Leonard Wood Army Community Hospital | Clinic/Center | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2006-05-24 |
| 1912511593 | Kay Lynn Brunt | Military Health Care Provider | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-09-01 |
| 1669084208 | Brenda Michelle Helton | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-08-17 |
| 1316565732 | Dalton Dewey | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-13 |
| 1538787643 | Kodjo Adam Dodo | Dietitian, Registered | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-07-06 |
| 1821613100 | Christopher James Robets | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-11 |
| 1760007355 | Zaine Robert Dugan | Student in an Organized Health Care Education/Training Program | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-06-10 |
| 1134753031 | Jeremiah Leaming | Nurse Practitioner | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-28 |
| 1700418167 | Diana Alvarado | Social Worker | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-02-04 |
| 1336789767 | Jonathan Weiser | Physician Assistant | 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 | 2020-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192759 | Clara Boo Chai | Physician Assistant | General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 | 2020-07-27 |
| 1982198453 | Traci Anne Shambo | Dental Hygienist | Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473 | 2018-06-19 |
| 1083133771 | Mary Joan Klemp | Family Medicine | Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 | 2017-09-13 |
| 1255791851 | Sarah Elizabeth Joy | Physician Assistant | 885 West 16th Street, Fort Leonard Wood, MO 65473 | 2016-02-25 |
| 1548626948 | Jaimie-lee Musen | Physical Therapist | 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 | 2016-01-14 |
| 1609240852 | Angela Carson | Registered Nurse | 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 | 2015-11-25 |
| 1811379407 | Katharine Leigh Stringer | Dentist | 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 | 2015-06-19 |
| 1548656044 | General Leonard Wood Army Community Hospital | Clinic/Center | 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 | 2015-04-10 |
| 1740670314 | Terricka Stewart | Specialist/Technologist | 885 West 16th St., Fort Leonard Wood, MO 65473 | 2015-02-03 |
| 1427467265 | Dianna Morrison | Social Worker | 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 | 2014-08-06 |
| Find all providers in zip 65473 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1104260652 | Charles Justin Hangge | Emergency Medical Technician, Basic | 2862 Championship Blvd, Saint Louis, MO 63129-5269 | 2013-04-25 |
| 1588970479 | Brianne Marie Luck | Emergency Medical Technician, Basic | 2813 Kenborg Hls, Jefferson City, MO 65109-1002 | 2010-08-30 |
| 1932254828 | Kristan Erdmann | Emergency Medical Technician, Basic | 412 N Church St Apt 3, Fayette, MO 65248-1123 | 2007-01-24 |
| 1396742847 | Hermann Area Ambulance District | Emergency Medical Technician, Basic | 510 W 16th St, Hermann, MO 65041-1502 | 2005-06-30 |
| 1669005591 | Caleb Morlan | Emergency Medical Technician, Basic | 901 S National Ave # Prof160, Springfield, MO 65897-0027 | 2020-02-19 |
| 1255996765 | Evelyn D Walberg | Emergency Medical Technician, Basic | 315 E Walnut St, Ellington, MO 63638-7943 | 2019-05-09 |
| 1063822211 | Chere Hellenbrand | Emergency Medical Technician, Basic | 102 N Sterling Ave, Sugar Creek, MO 64054-1207 | 2014-04-28 |
| 1952740748 | Mitchell J Mcginnis | Emergency Medical Technician, Basic | 904 Edmond St, Saint Joseph, MO 64501-2702 | 2013-06-14 |
| 1528206893 | Ryan Palmer | Emergency Medical Technician, Basic | 2727 Mcclelland Blvd, Joplin, MO 64804-1626 | 2009-01-25 |
| Find all providers with the same taxonomy | ||||
| City | FORT LEONARD WOOD |
| Zip Code | 65473 |
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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.