MR. OMAR D HERNANDEZ SOLANO


Address: 90 Hope Dr Bldg 6000, 366 Amds/sgpf, Mountain Home A F B, ID 83648-1062
Phone: 2088287401

MR. OMAR D HERNANDEZ SOLANO (NPI# 1881824159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881824159
Entity Type Individual
Full Name MR. OMAR D HERNANDEZ SOLANO
Credential IDMT
Practice Address 90 Hope Dr Bldg 6000
366 Amds/sgpf
Mountain Home A F B
ID 83648-1062
Practice Telephone 2088287401
Practice Fax Number 2088281498
Mailing Telephone 2088287401
Mailing Fax Number 2088281498
Enumeration Date 2009-07-21
Last Update Date 2009-07-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 90 HOPE DR BLDG 6000
366 AMDS/SGPF
City MOUNTAIN HOME A F B
State ID
Zip Code 83648-1062

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942533419 Kristen Anne Lewis Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-09-15
1407086473 Jeffrie Neil Mayberry Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-07-23
1942430178 Joe Cabalhin Dittman Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-07-22
1194959908 Joseph Paul Keddie Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-05-07
1194976332 Jeffrey Blaine Robinson Dentist 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2008-10-07
1154451342 Beatriz C.s. Spencer Physician Assistant 90 Hope Dr Bldg 6000, Mountain Home Afb, Mountain Home A F B, ID 83648-1062 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851528392 Amy Jo Glover Military Health Care Provider 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 2009-06-11
1306051065 Thomas Michael Smith Social Worker 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 2007-05-14
1316005143 Ronald Wesley Bailey Radiology Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 2006-12-05
1992780597 Randall Jay Moore Preventive Medicine 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 2005-12-07
1356325666 Joseph Carroll Skinner Jr. Nurse Anesthetist, Certified Registered 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 2005-11-30
1477547271 Ron Stumbo Pharmacist Mountain Home Afb, Mountain Home Afb, ID 83648 2005-09-07
1154315943 Georgette Ann Trezvant Social Worker 366 Medical Operations Squadron, 90 Hope Drive, Bldg 6000, Mt. Home Air Force Base, ID 83648 2005-09-07
1265948897 Alyse Marie Denittis Physician Assistant 90 Hope Dr, Mountain Home Afb, ID 83648 2017-12-19
1891224473 Jared Getzlaff Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648 2017-06-07
1548796527 Derek J Dutson Dentist 90 Hope Dr, Mountain Home Afb, ID 83648 2017-05-11
Find all providers in zip 83648

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760626584 Casey Lee Burns Military Health Care Provider 84 Bomber Rd, 726th Air Control Squadron, Mountain Home A F B, ID 83648-5272 2009-04-23
1669765871 April Denise Paciotti Military Health Care Provider 90 Hope Dr, Bld 6000, Mountain Home A F B, ID 83648-1057 2011-05-20
1942533419 Kristen Anne Lewis Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-09-15
1407086473 Jeffrie Neil Mayberry Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-07-23
1942430178 Joe Cabalhin Dittman Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-07-22
1194959908 Joseph Paul Keddie Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home A F B, ID 83648-1062 2009-05-07
1306070446 Brandi Adele Mackey Military Health Care Provider 84 Bomber Rd, Mountain Home A F B, ID 83648-5272 2009-05-04
1518101245 Dane A. Looman Military Health Care Provider 84 Bomber Rd, 726 Acs/sg, Mountain Home A F B, ID 83648-5272 2009-04-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326311259 Matthew Turner Military Health Care Provider 232 Ne Verde Ct, Mountain Home, ID 83647-3715 2012-02-23
1972813400 Stacey Karen Bays Military Health Care Provider 509 Lynwood Blvd, Twin Falls, ID 83301-4132 2010-10-18
1851528392 Amy Jo Glover Military Health Care Provider 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 2009-06-11
1922585140 Heather Ford Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2018-07-20
1528551751 Ryan D Kainrath Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2018-06-12
1598298135 Zack Hunter Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2017-04-11
1861800096 Tyree Wolf Military Health Care Provider 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648-1062 2014-07-31
1174862692 Dennis Jacob Reuter Military Health Care Provider 90 Hope Dr, Mountain Home Afb, ID 83648-1057 2013-02-04
1447480686 Julian Keith Little Military Health Care Provider Mountain Home Afb, 90 Hope Dr. Bldg 6000/366 Med Gp/amds/sgpf, Mountain Home, ID 83648 2009-07-22
1093943870 Dandy Rae Aaron Military Health Care Provider 90 Hope Drive Bldg 6000, Mountain Home, ID 83648-1062 2009-06-30
Find all providers with the same taxonomy

Competitor

Search similar providers

City MOUNTAIN HOME A F B
Zip Code 83648

Improve Information

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Dataset Information

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.

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