MR. DANIEL LUTHER GREEN III


Address: 1 Norad Rd, Colorado Springs, CO 80914-6001
Phone: 7194743862

MR. DANIEL LUTHER GREEN III (NPI# 1932342094) 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) 1932342094
Entity Type Individual
Full Name MR. DANIEL LUTHER GREEN III
Credential IDMT
Practice Address 1 Norad Rd
Colorado Springs
CO 80914-6001
Mailing Address 854 Bayfield Way Apt 302
Colorado Springs
CO 80906-4620
Practice Telephone 7194743862
Mailing Telephone 7073656924
Enumeration Date 2009-04-19
Last Update Date 2009-04-19
Gender Code M
Is Sole Proprietor N

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

Other Providers DANIEL GREEN

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1053940098 Daniel Green Social Worker 100 Oceangate Ste 610, Long Beach, CA 90802-4365 2020-04-02
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1861731200 Daniel Green Technician, Other 1609 Tarleton St, Spring Valley, CA 91977-3741 2013-02-05
1609135573 Daniel A Green Pathology 622 W 168th St Dept Of, New York, NY 10032-3720 2012-05-11
1699048108 Daniel Cameron Green Rehabilitation Practitioner 8168 Anchor Point Dr, Reno, NV 89506-3109 2012-02-14
1790929230 Daniel R Green Internal Medicine Upstate Cardiology, 2 Innovation Drive, Ste 400, Greenville, SC 29607-5270 2009-04-28
1447454988 Daniel James Green Dentist Pa Route 313, Suite 105, Fountainville, PA 18923-0175 2007-06-11
1790716660 Daniel Green Emergency Medicine 3101 Sw 62 Avenue, Miami, FL 33155 2006-07-06
1508835372 Daniel Green Obstetrics & Gynecology 15709 Yeoho Rd, Sparks, MD 21152-9620 2006-03-15
1679547681 Daniel Nick Green Registered Nurse 9282 Lytham Dr, Shreveport, LA 71129-4834 2006-02-15

Office Location

Street Address 1 NORAD RD
City COLORADO SPRINGS
State CO
Zip Code 80914-6001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700013380 Curtis E Clawson Military Health Care Provider 1 Norad Rd, Suite 1205, Colorado Springs, CO 80906 2009-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356897250 Kym Littlefield Whitaker Nurse Practitioner 110 Ent Avenue, Peterson Afb, CA 80914 2016-08-30
1114322583 Jessica Charmaine Johnson Social Worker 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 2014-10-28
1306916267 John Frank Drozd Psychologist 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 2006-11-08
1801858865 Moshe Mark Douglas Wexler Clinical Neuropsychologist 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 2006-04-05
1215902002 William J Dickson Dentist Peterson Afb, Bld 950, Colorado Springs, CO 80914 2006-02-23
1740889773 Brandon Dean Estes Dental Hygienist 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 2020-10-21
1811378607 Justin Henry Noble Family Medicine 559 Vincent St, Colorado Springs, CO 80914 2015-06-17
1225458789 Brianna Mcmurray Family Medicine 559 Vincent St Bldg 959, Colorado Springs, CO 80914 2014-04-23
1720406796 Beth D Achterhoff Physical Therapist 559 Vincent St Bldg 959, Peterson Afb, CO 80914 2014-04-07
1225310162 Zachary Edward Bishop Pharmacist 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 2011-09-16
Find all providers in zip 80914

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
1255754214 Lynor Dicang Hardy Military Health Care Provider Cheyenne Mountain Air Station, Colorado Springs, CO 80922 2014-01-28
1912243239 Lerinda Kay Carle Military Health Care Provider 6676 Myrtle Creek Dr, Colorado Springs, CO 80927-4034 2012-12-13
1851675011 Susanne Clariece Fry Military Health Care Provider 2540 Brady Dr, Colorado Springs, CO 80917-4021 2011-10-06
1588996243 Luke William Willis Military Health Care Provider 1965 Shawnee Dr, Colorado Springs, CO 80915-1920 2010-02-05
1316587116 Cori Lea Andrews Military Health Care Provider 559 Vincent St Bldg 959, Colorado Springs, CO 80914-1541 2020-01-09
1700013380 Curtis E Clawson Military Health Care Provider 1 Norad Rd, Suite 1205, Colorado Springs, CO 80906 2009-06-22
1740417641 David Andrew Holman Military Health Care Provider 559 Vincent St, Colorado Springs, CO 80914-1541 2009-06-18
1386879633 Edward L Nelson Jr. Military Health Care Provider 559 Vincent St, Colorado Springs, CO 80914-1541 2009-05-15
1831333996 Mandy Grimm Military Health Care Provider 559 Vincent St, Colorado Springs, CO 80914-1541 2009-04-20
1386887792 Jovonne D Parnell Military Health Care Provider 559 Vincent St, Colorado Springs, CO 80914-1541 2009-04-15
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80914

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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