JONATHAN ALLEN (NPI# 1740833813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740833813 |
| Entity Type | Individual |
| Full Name | JONATHAN ALLEN |
| Credential | IDMT |
| Practice Address |
48 Medical Group Eriswell BRANDON IP27 9PN GB |
| Mailing Address |
4273 Old Surrency Rd Surrency GA 31563-2009 |
| Practice Telephone | 9109169189 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| 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 |
|---|---|---|---|---|
| 1457584237 | Jonathan C. Allen Jr. | Dentist | 2924 East Franklin Blvd, Gastonia, NC 28056 | 2009-08-27 |
| 1316965783 | Jonathan Allen | Emergency Medicine | 121 Autumn Dr, Houma, LA 70360-6099 | 2006-07-17 |
| 1891756417 | Jonathan David Allen | Chiropractor | 142-01 37th Avenue, Flushing, NY 11354 | 2006-03-31 |
| 1215557830 | Jonathan Mason Allen | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr, Sylmar, CA 91342-1437 | 2020-04-23 |
| 1386142701 | Jonathan Patrick Allen | Behavioral Analyst | 4600 Kietzke Ln Ste M246, Reno, NV 89502-5000 | 2018-01-31 |
| 1043728728 | Jonathan Allen | Dietitian, Registered | 1705 S Adams St, Tallahassee, FL 32301-5406 | 2018-01-17 |
| 1649792110 | Jonathan Robert Allen | Pharmacist | 733 W Market St, Tiffin, OH 44883-2520 | 2017-07-17 |
| 1093066201 | Jonathan Paul Allen | Physical Therapist | 1360 Blair Dr, Suite D, Odenton, MD 21113-1343 | 2012-09-27 |
| 1801101506 | Jonathan Allen | Chiropractor | 1100 Pleasant Valley Dr, Ste A, Pleasant Hill, CA 94523-4362 | 2010-08-18 |
| 1396071452 | Jonathan Allen | Specialist/Technologist | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2009-10-26 |
| Street Address |
48 MEDICAL GROUP |
| City | ERISWELL |
| State | BRANDON |
| Zip Code | IP27 9PN |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667781 | Janz Medical Supply | Durable Medical Equipment & Medical Supplies | Building 998 Boston Rd, Brandon, ENGLAND IP27 9PN | 2020-07-23 |
| 1104898378 | Rafael A Pagan | Military Health Care Provider | Raf Lakenheath 48mdss/sgsar Unit 5210, Box 230, Brandon, SUFFOLK IP27 9PN | 2006-02-02 |
| 1538140124 | Rhett Brandon Casper | Dentist | 48fw/pa, Raf Lakenheath, Brandon, SUFFOLK IP27 9PN | 2005-11-10 |
| 1578558953 | John C Kresin | Dentist | 48 Mdg/sgd, Unit 5210 Box 230, Brandon, GREAT BRITAIN IP27 9PN | 2005-09-13 |
| 1316931132 | Masoud Milani | Dentist | Unit 5210, Box 230, Raf Lakenheath, Brandon, SUFFOLK IP27 9PN | 2005-09-08 |
| 1740820646 | Richard Culp | Military Health Care Provider | 48th Medical Group, Brandon, SUFFOLK IP27 9PN | 2020-01-09 |
| 1811540891 | Heather Henry | Social Worker | Raf Lakenheath, Brandon Rd, Lakenheath, SUFFOLK IP27 9PS | 2019-07-19 |
| 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] |
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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.