MR. RONALD JOHN BORGSTROM II (NPI# 1831449180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831449180 |
| Entity Type | Individual |
| Full Name | MR. RONALD JOHN BORGSTROM II |
| Practice Address |
15053 W Mulberry Dr Goodyear AZ 85395-8846 |
| Practice Telephone | 6199882281 |
| Mailing Telephone | 6199882281 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| 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 |
15053 W MULBERRY DR |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-8846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1225657828 | Casey Mulcahy | Military Health Care Provider | 2748 N 60th St, Scottsdale, AZ 85257-1012 | 2020-04-13 |
| 1194375667 | Nathan Andrew Lawson | Military Health Care Provider | 2336 E Libra Pl, Chandler, AZ 85249-3790 | 2019-09-17 |
| 1043787450 | Dustin Alford | Military Health Care Provider | 4280 E Burnsey Ln, Kingman, AZ 86401-5595 | 2018-10-24 |
| 1306259171 | Aaron Alvarez | Military Health Care Provider | 18026 W Carol Ave, Waddell, AZ 85355-4127 | 2014-06-09 |
| 1891118774 | Vianca Mendoza | Military Health Care Provider | 17714 W Desert Ln, Surprise, AZ 85388-1714 | 2014-01-28 |
| 1821358102 | Ngu Quang Do | Military Health Care Provider | 407 Campbell St, Prescott, AZ 86301-2518 | 2012-05-21 |
| 1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
| 1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
| 1235433756 | Esmat Marie Sabbagh | Military Health Care Provider | 5020 E Arizola St, Davis Monthan Afb, AZ 85707-3108 | 2010-12-23 |
| 1417267949 | Humberto Alcocer | Military Health Care Provider | 4159 W 3rd Pl, Yuma, AZ 85364-1009 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RONALD JOHN BORGSTROM II.
| 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.