AARON MACK (NPI# 1760804488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804488 |
| Entity Type | Individual |
| Full Name | AARON MACK |
| Practice Address |
1575 Starflower Ct Walworth NY 14568-9524 |
| Practice Telephone | 3155767399 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225023047 | Aaron Christopher Mack | Ophthalmology | 150 Taylor Station Rd Ste 150, Columbus, OH 43213-4440 | 2005-09-19 |
| Street Address |
1575 STARFLOWER CT |
| City | WALWORTH |
| State | NY |
| Zip Code | 14568-9524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316308323 | Tina Fountaine | Registered Nurse | 1527 Aster Ter, Walworth, NY 14568 | 2016-03-18 |
| 1578847885 | Stephanie Anne Drake | Speech-Language Pathologist | 1500 Dayspring Drive, Walworth, NY 14568 | 2011-10-05 |
| 1891023792 | Melissa Ann Ihrig | Speech-Language Pathologist | 3217a Sherwood Dr, Walworth, NY 14568 | 2009-12-03 |
| 1023239514 | Angela C Berg | Licensed Practical Nurse | 1560 Wakerobin Ct., Walworth, NY 14568 | 2007-05-01 |
| 1730200700 | Dr. John Anthony Guerrieri | Dentist | 2100 Walworth Penfield Rd., Walworth, NY 14568 | 2007-04-03 |
| 1851407894 | John Anthony Guerrieri | Dentist | 2100 Walworth Penfield Rd, Walworth, NY 14568 | 2006-08-22 |
| 1477657849 | Thomas C. Stevens, D.d.s., P.C. | Dentist | 2100 Penfield Rd., Walworth, NY 14568-0029 | 2006-09-07 |
| 1609970086 | Thomas Cyriel Stevens | Dentist | 2100 Penfield Rd., Walworth, NY 14568-0029 | 2006-09-07 |
| 1225435613 | Sarah D Strickland | Licensed Practical Nurse | 3772 Walworth Ontario Rd, Walworth, NY 14568-9200 | 2014-12-01 |
| 1679858419 | Jill H York | Technician | 4200 Walworth Ontario Rd, Walworth, NY 14568-9209 | 2011-10-12 |
| Find all providers in zip 14568 | ||||
| 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 |
|---|---|---|---|---|
| 1346785136 | Jonathon David Powell | Military Health Care Provider | 18524 140th Ave, Springfield Gardens, NY 11413-2614 | 2017-01-03 |
| 1295130367 | Rey Pablo Reyes | Military Health Care Provider | 8426 86th Rd, Woodhaven, NY 11421-1225 | 2014-10-30 |
| 1447511530 | Aaron Michael Shanahan | Military Health Care Provider | 10 Parkway St, Silver Creek, NY 14136-1405 | 2012-06-05 |
| 1497033690 | Laura Marie Jablinski | Military Health Care Provider | 29 Reed Ave, Lackawanna, NY 14218-1618 | 2011-07-22 |
| 1760450167 | Brien Robert Gibney | Military Health Care Provider | Psc 814, Box 19, Fpo-ae, NY 09865-0019 | 2006-03-10 |
| 1922438209 | Miguel Hilario Codd | Military Health Care Provider | 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 | 2013-11-22 |
| 1003250994 | Travis Paul Deel | Military Health Care Provider | 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 | 2013-04-22 |
| 1841478351 | Jason Michael Rogers | Military Health Care Provider | 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 | 2008-02-06 |
| 1427174879 | Edward Ervin Moak | Military Health Care Provider | 1 West Ave Ste 230, Saratoga Springs, NY 12866-6050 | 2007-03-21 |
| 1710956032 | Patrick Joseph Bishop | Military Health Care Provider | 1 West Ave, Suite 230, Saratoga Springs, NY 12866-6045 | 2006-03-17 |
| Find all providers with the same taxonomy | ||||
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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.