TERESA LYNN MICOTTO


Address: 18th Medical Group, Unit 5142, Apo, AP 96368-5142
Phone: 3156304780

TERESA LYNN MICOTTO (NPI# 1932580388) 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) 1932580388
Entity Type Individual
Full Name TERESA LYNN MICOTTO
Credential M.D.
Practice Address 18th Medical Group, Unit 5142
Apo
AP 96368-5142
Mailing Address Psc 80 Box 14088
Apo
AP 96367-0043
Practice Telephone 3156304780
Mailing Telephone 3156304229
Enumeration Date 2015-06-11
Last Update Date 2018-08-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2083A0100X Preventive Medicine
Specialization: Aerospace Medicine
29639 NE Allopathic & Osteopathic Physicians
Y 171000000X Military Health Care Provider 29639 NE Other Service Providers

Office Location

Street Address 18TH MEDICAL GROUP, UNIT 5142
City APO
State AP
Zip Code 96368-5142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972784494 Laura Marie Boylan Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2007-11-27
1225483621 Ryan Mark Family Medicine 18th Medical Group, Unit 5142, Apo, AP 96368 2016-05-04
1952761702 Jennifer Tanaka Dentist 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2016-03-07
1124400478 Lincoln Andreasen Family Medicine 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2015-06-23
1174928865 Jafet A Ojeda Rodriguez Preventive Medicine 18th Medical Group, Unit 5142, Apo, AP 96368 2014-10-24
1245639418 Ivette Josefina Russo Psychologist 18th Medical Group, Unit 5142, Apo, AP 96368 2014-08-13
1487074274 Jenny Wylie Nurse Practitioner 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2014-04-21
1497187330 Shannon Napua Hickman Roman Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-9998 2013-08-02
1215376207 Yalonda Pone Social Worker 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2013-06-23
1598008534 Adam N Young Internal Medicine 18th Medical Group, Unit 5142, Apo, AP 96368-5142 2013-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063872703 Halston Thayer Dentist 18th Medical Group. Unit 5142, Apo, AP 96368 2016-02-23
1912392333 Jennifer Chilson Military Health Care Provider Bldg 3531 Unit 5247 B 10, Apo, AP 96368 2015-04-02
1811245962 Greyson Leftwich Dentist 18th Medical Group, Bldg 626. Unit 5142, Apo, AP 96368 2012-08-21
1639440720 Marta T Casbeer Social Worker Unit 4142, Apo, AP 96368 2012-01-20
1538454335 Rachel Jeanty Asuquo Internal Medicine Kadena Air Base, Apo, AP 96368 2011-06-09
1730489451 Laura Driver Dentist Kadena Afb 18 Mdg, Unit 5142, Apo, AP 96368 2010-10-28
1043442247 Christina M Carter Nurse Practitioner 18th Med Group Unit 5142, Apo, AP 96368 2009-08-20
1659515070 David J Billings Military Health Care Provider 353d Operations Support Squadron, Unit 5247 Box 10, Apo, AP 96368 2009-04-29
1427292226 Melissa Anne Worley Emergency Medical Technician, Paramedic Bldg 3531, Kadena Ab Japan, Apo, AP 96368 2009-04-23
1922240571 Richard H Caballero Pharmacist 18 Mdss Pharmacy, Unit 5268 Bld 626, Apo, AP 96368 2009-03-28
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Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730700253 Udaya Dahal Military Health Care Provider Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 2020-05-06
1386273449 Nicholas Thomas Nelson Military Health Care Provider 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 2020-04-02
1538795679 Tanner Sean Harvey Military Health Care Provider 1mrb Bas, Apo, AA 92010 2020-03-20
1124686472 Oscar Christian Military Health Care Provider Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 2019-06-02
1932687340 Jennifer Marie Sisson Military Health Care Provider 4-2 Arb, Apo, AP 96271 2018-07-30
1962921049 Heidi Grondahl Military Health Care Provider Building 2, Del Din Clinic, Apo, AE 09606 2017-09-11
1922546654 Alexandria Fraleigh Jaksha Military Health Care Provider Blg 8740 Unit 23809, Cmr 405, Bx 52, Apo, AE 09034 2017-02-01
1447702154 Jerry C Mallory Jr. Military Health Care Provider 4018 Bayard 44121, Apo, AA 44121 2016-10-28
1306226121 Clinton Rebello Military Health Care Provider Mcguire Afb, Apo, AA 08610 2015-06-06
1255661005 Thomas J Drummond Military Health Care Provider Hhc 3-4 Inf, Cmr 405 Box #5427, Apo, AE 09034 2009-12-29
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Competitor

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City APO
Zip Code 96368

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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