GRANT M GOLOMBESKI (NPI# 1881245967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881245967 |
| Entity Type | Individual |
| Full Name | GRANT M GOLOMBESKI |
| Credential | IDMT |
| Practice Address |
300 S Twinning Dr. Apo AA 36112 |
| Mailing Address |
85 Waxwing Dr Poteet TX 78065-4581 |
| Practice Telephone | 8507974859 |
| Mailing Telephone | 8507974859 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| 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 |
300 S TWINNING DR. |
| City | APO |
| State | AA |
| Zip Code | 36112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841836970 | Alison Bees Thompson | Social Worker | 42nd Medical Group, 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2019-11-25 |
| 1477015196 | Jennifer Marie Hudson | Counselor | Jennifer Hudson, 300 South Twining St Bldg 760, Maxwell Afb, AL 36112 | 2019-04-02 |
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1306316963 | Lydia Price Beringer | Speech-Language Pathologist | 300 S. Twining Street 42 Nd Medical Group, Maxwell Afb, AL 36112 | 2018-11-27 |
| 1114431301 | Dean M Kot | Physician Assistant | Mxf, Kelly St, Apo, AA 36112 | 2017-11-27 |
| 1417353590 | Jamie Ellis | Social Worker | 300 S. Twining St. Bldg 760, Maxwell Afb, AL 36112 | 2014-11-17 |
| 1629419650 | Elias N Hydrick | Family Medicine | 300 S. Twining St., Bldg 760, Maxwell Afb, 42nd Medical Group, Montgomery, AL 36112 | 2013-07-06 |
| 1639454200 | Sharon Lewis | Pharmacist | 300 Southtwining St, Montgomery, AL 36112 | 2011-10-14 |
| 1104158518 | Sylvia Ann Newell | Dietitian, Registered | 50 W Ash St Bldg 841, Montgomery, AL 36112 | 2010-02-10 |
| 1023246188 | Deanne J Terrell | Counselor | 300 S Twining St, Bldg 760, 42d Medical Group, Montgomery, AL 36112 | 2009-06-29 |
| Find all providers in zip 36112 | ||||
| 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 |
|---|---|---|---|---|
| 1174166656 | Samuel Mow | Military Health Care Provider | Landshul Regional Medical Center, Apo, AE 09180 | 2019-10-28 |
| 1346711579 | Jimbell Gray | Military Health Care Provider | Building #932, Apo, AE 09464 | 2018-12-16 |
| 1942784442 | Christopher Allen Foster | Military Health Care Provider | 18th Medical Group, Bldg 626, Unit 5142, Apo, AP 96368-5142 | 2018-09-20 |
| 1497294359 | Ryan Springer | Military Health Care Provider | Psc 41 Box 2116, Apo, AE 09464-0022 | 2017-02-13 |
| 1205387081 | Joshua Gratz | Military Health Care Provider | 48mdh/sghc Unit 5115, Apo, AE 09461 | 2016-10-17 |
| 1316322506 | Andrew Bowers | Military Health Care Provider | Psc 2, Box 8707, Apo, AE 09012 | 2015-07-29 |
| 1689060311 | Kody Whiteside | Military Health Care Provider | 99 Friendship Bldv, Apo, AP 96319-0061 | 2015-04-09 |
| 1912392333 | Jennifer Chilson | Military Health Care Provider | Bldg 3531 Unit 5247 B 10, Apo, AP 96368 | 2015-04-02 |
| 1720409675 | Emily Porter | Military Health Care Provider | Psc 17 Box 66, Apo, AE 09214-0001 | 2013-12-19 |
| 1134562507 | Christopher Paul Soergel | Military Health Care Provider | Mobile Diving and Salvage Unit One, Building 17 Bishop Point, Apo, AE 96660-7005 | 2013-04-16 |
| Find all providers in APO | ||||
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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.