LIDYA PAOLA GALVAN REYES (NPI# 1891335881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891335881 |
| Entity Type | Individual |
| Full Name | LIDYA PAOLA GALVAN REYES |
| Practice Address |
7300 N Perimeter Rd Great Falls MT 59402-6701 |
| Mailing Address |
4826 Lorrayne Pl Klamath Falls OR 97603-8354 |
| Practice Telephone | 4067313095 |
| Mailing Telephone | 6504525451 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| 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 |
7300 N PERIMETER RD |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59402-6701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480060 | Dominique Edwards | Dental Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-09-03 |
| 1609480011 | Baokou Bungard-thao | Dental Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-09-02 |
| 1659906527 | Kelsey Gavin Aldridge | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-03-11 |
| 1558829408 | Tyler C Mcdaniel | Psychologist | 7300 N Perimeter Rd, Great Falls, MT 59402 | 2019-03-11 |
| 1548730724 | Brennan Kaine Jacobs | Pharmacist | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-11-29 |
| 1639644339 | Anton Garcia Hayward | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-10-09 |
| 1609327428 | Usaf | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-10-17 |
| 1144773698 | Justin Shirk | Dentist | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-08-02 |
| 1407257793 | Shaun Mark Saunders | Physician Assistant | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2014-09-06 |
| 1700125960 | Chad Bechtle | Optometrist | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2013-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255166 | Jonathan Tankersley | Dentist | 7300 Perimeter Rd, Malmstrom Afb, Mt 59402, Dental Clinic, Apo, AA 59402 | 2017-06-13 |
| 1780061960 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 7200 Perimeter Rd., Bldg 1340, Malmstrom Afb, MT 59402 | 2015-04-27 |
| 1396181533 | 341st Medical Group | Military/U.S. Coast Guard Pharmacy | 341 Mdg/mdss/sgsa 7300 N Perimeter Rd, Bldg 2040, Malstrom Afb, MT 59402 | 2013-05-15 |
| 1205098258 | Dennis Gordon Vanhook | Social Worker | 7300 N Peirmeter Road, 341st Medical Group, Malmstrom Afb, MT 59402 | 2008-07-01 |
| 1437205119 | Misty Dawn Robertson | Dental Hygienist | 3700 N Perimeter Road, Malmstrom Afb, MT 59402 | 2007-01-26 |
| 1699738278 | Carol F Nelson | Nurse Practitioner | 7300 North Perimeter Rd, Malmstrom Afb, MT 59402 | 2006-04-06 |
| 1952541716 | Stacey Renee Vierra | Physician Assistant | 7300 North Perimeter Road, 341 Medical Group, Malmstrom Afb, MT 59402 | 2009-03-05 |
| 1306094461 | Jeremy Gustafson | Pharmacist | 7300 North Perimeter Road, Malmstrom Afb, MT 59402 | 2008-09-03 |
| 1356329817 | Timothy Paul Gacioch | Physician Assistant | 4300 Perimeter Rd, (341st Med Group) Bldg 2040, Room S156, Malmstrom Afb, MT 59402-0001 | 2006-01-05 |
| 1104848159 | Malmstrom Air Force Base | Military Hospital | 7300 N Perimeter Rd Bldg 2040, 341 Mdos/sgomhf Malmstrom Afb, Great Falls, MT 59402-6701 | 2006-07-25 |
| Find all providers in zip 59402 | ||||
| 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 |
|---|---|---|---|---|
| 1336499938 | Cody Wayne Bohlke | Military Health Care Provider | 1009 Briarwood Ct, Great Falls, MT 59405 | 2012-09-12 |
| 1659906527 | Kelsey Gavin Aldridge | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2020-03-11 |
| 1639644339 | Anton Garcia Hayward | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2018-10-09 |
| 1609327428 | Usaf | Military Health Care Provider | 7300 N Perimeter Rd, Great Falls, MT 59402-6701 | 2016-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811530751 | Chelsea Allaire Barrow | Military Health Care Provider | 33498 Jocko Rd, Arlee, MT 59821-9343 | 2019-10-23 |
| 1144688300 | Paul Webb | Military Health Care Provider | 208 Webb Ln, Columbia Falls, MT 59912-8631 | 2016-02-03 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| 1154939643 | John Robert Powell | Military Health Care Provider | 7300 N Perimeter Rd Bldg 2040, Malmstrom Afb, MT 59402-6701 | 2020-07-21 |
| 1265862478 | Michael Rohan | Military Health Care Provider | 7300 N Perimeter Rd, Malmstrom Afb, MT 59402-6701 | 2013-11-25 |
| City | GREAT FALLS |
| Zip Code | 59402 |
Please comment or provide details below to improve the information on LIDYA PAOLA GALVAN REYES.
| 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.