JACOB TYLER WEAVER (NPI# 1821500232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821500232 |
| Entity Type | Individual |
| Full Name | JACOB TYLER WEAVER |
| Credential | NREMTA |
| Practice Address |
7320 Canterbury Ct Liberty Township OH 45044-9227 |
| Practice Telephone | 5133245147 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| 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 |
| Street Address |
7320 CANTERBURY CT |
| City | LIBERTY TOWNSHIP |
| State | OH |
| Zip Code | 45044-9227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| 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 |
|---|---|---|---|---|
| 1992305700 | Jason Patrick Scoles | Military Health Care Provider | 5607 Hickam Dr, Dayton, OH 45431-1544 | 2020-10-30 |
| 1497380364 | Sean Francis Costello | Military Health Care Provider | 4884 Sugar Maple Dr, Wpafb, OH 45433-5533 | 2020-03-11 |
| 1902449846 | Brandi Krueger-dunn | Military Health Care Provider | 4206 Redfern Rd, Parma, OH 44134-3364 | 2019-10-23 |
| 1538585682 | Brian Milner | Military Health Care Provider | 9910 Sherwood Dr, Cincinnati, OH 45231-2526 | 2014-03-13 |
| 1184063729 | Jasom Robert Kidnocker | Military Health Care Provider | 37 Rookwood Dr, Chillicothe, OH 45601-3085 | 2013-06-17 |
| 1629312988 | Jack Williams | Military Health Care Provider | 116 Dickman Dr, Dayton, OH 45431-1570 | 2012-11-26 |
| 1760726178 | Christy Wade | Military Health Care Provider | 19404 Harl Weiller Rd, Caldwell, OH 43724-9149 | 2012-11-26 |
| 1962775890 | Nicole Marie Palko | Military Health Care Provider | 1104 Middy Dr, Dayton, OH 45433-1322 | 2012-02-23 |
| 1326339334 | Brian J Kemp | Military Health Care Provider | 5823 Gross Dr, Dayton, OH 45431-1515 | 2011-04-25 |
| 1861702391 | Erik John Duran | Military Health Care Provider | 1358 Beaver Cir, Columbiana, OH 44408-9534 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTY TOWNSHIP |
| Zip Code | 45044 |
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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.