SEAN WILLIAMS (NPI# 1750709317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750709317 |
Entity Type | Individual |
Full Name | SEAN WILLIAMS |
Credential | IDMT |
Practice Address |
340 Magnolia Cir Panama City FL 32403-5604 |
Mailing Address |
2401 Stanford Rd Apt 1127 Panama City FL 32405-3579 |
Practice Telephone | 8503336476 |
Mailing Telephone | 8503336476 |
Enumeration Date | 2014-04-01 |
Last Update Date | 2014-04-01 |
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 |
---|---|---|---|---|
1306376512 | Sean Theron Williams | Dentist | 13576 Nw 2nd Ln Ste 30, Newberry, FL 32669-3736 | 2017-06-20 |
1134151202 | Sean Williams | Physical Therapist | 4393 Sw 130th Ave, Davie, FL 33330-4730 | 2006-07-07 |
1447863089 | Sean Theodore Williams | Peer Specialist | 3600 San Jeronimo Dr Ste 210, Anchorage, AK 99508-2870 | 2020-08-24 |
1962010066 | Sean V Williams | Behavior Technician | 360 S Garden Way Ste 250, Eugene, OR 97401-8175 | 2020-07-15 |
1811541857 | Sean Lamar Williams | Behavior Technician | 7720 Cowboy Trl, Las Vegas, NV 89131-2131 | 2019-07-29 |
1548780091 | Sean Williams | Behavior Technician | 2317 24th Ave E, Seattle, WA 98112-2606 | 2017-06-26 |
1417488354 | Sean Williams | Emergency Medicine | 901 Rancho Ln Ste 135, Las Vegas, NV 89106-3826 | 2017-03-22 |
1013375229 | Sean Williams | Counselor | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 | 2016-02-02 |
1467827386 | Sean Williams | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2015-12-03 |
1255712626 | Sean Thomas Williams | Emergency Medicine | 5645 W Addison St, Dept of Emergency Medicine, Chicago, IL 60634-4403 | 2015-06-11 |
Street Address |
340 MAGNOLIA CIR |
City | PANAMA CITY |
State | FL |
Zip Code | 32403-5604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497283188 | Christopher Warner | Military Health Care Provider | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2017-05-25 |
1609261403 | Stephanie Gravely | Social Worker | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2015-03-30 |
1396017786 | Bryant Adam Axtell | Military Health Care Provider | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2012-02-01 |
1043453434 | Amy D Sullivan | Physical Therapy Assistant | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2009-04-14 |
1376786756 | Melissa Renee Rowan | Physical Therapy Assistant | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2009-04-14 |
1063679322 | Nicholas Robert Einbender | Dentist | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2008-05-22 |
1982733424 | Lynne Laurette Schneider | Social Worker | 340 Magnolia Cir, Tyndall Afb 325 Medical Group, Panama City, FL 32403-5604 | 2007-03-02 |
1922154046 | Robin L. Bailey | Dental Hygienist | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2007-01-25 |
1699705434 | Gary Piorkowski | Dentist | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2006-07-04 |
1669432365 | Jeffrey Alan Duncan | Optometrist | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2006-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
Find all providers in zip 32403 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376867101 | Loretta Ann Scott | Military Health Care Provider | 2401 Stanford Rd, Apt. 702, Panama City, FL 32405-3589 | 2010-03-23 |
1497283188 | Christopher Warner | Military Health Care Provider | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2017-05-25 |
1396017786 | Bryant Adam Axtell | Military Health Care Provider | 340 Magnolia Cir, Panama City, FL 32403-5604 | 2012-02-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457994394 | Nathaniel Clay Hollandsworth | Military Health Care Provider | 517 Harrison Dr, Hurlburt Field, FL 32544-1100 | 2019-10-23 |
1316592355 | Tiffany Nicole Monroe | Military Health Care Provider | 6280 Ferguson Dr, Pensacola, FL 32503-7769 | 2019-08-06 |
1881197069 | David Joseph Bergstrom | Military Health Care Provider | 2293 Frontera St, Navarre, FL 32566-6202 | 2018-03-14 |
1144723321 | Paris Johnae Milton | Military Health Care Provider | 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403-5604 | 2018-03-14 |
1538681226 | Qynne M Shoemaker | Military Health Care Provider | 1008 E Strawbridge Ave, Melbourne, FL 32901-4909 | 2017-07-13 |
1891196531 | Lorex Boy Lagora | Military Health Care Provider | 1010 Nw 91st St, Miami, FL 33150-2352 | 2014-09-12 |
1366865321 | Stephanie Fike | Military Health Care Provider | 2804 Winners Circle Dr, Navarre, FL 32566-8820 | 2014-01-28 |
1639506579 | Aaron Newby | Military Health Care Provider | 3434 Skysail Pl, Tampa, FL 33607-5828 | 2013-10-10 |
1821439712 | Eric John Muelhausen | Military Health Care Provider | 6151 Evergreen Pkwy, Crestview, FL 32539-7702 | 2013-07-09 |
1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
Find all providers with the same taxonomy |
City | PANAMA CITY |
Zip Code | 32403 |
Please comment or provide details below to improve the information on SEAN WILLIAMS.
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.