JACOB DANIEL ROSKO (NPI# 1942568662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942568662 |
| Entity Type | Individual |
| Full Name | JACOB DANIEL ROSKO |
| Credential | IDMT |
| Practice Address |
539 Se Dd Hwy Lot 5 Warrensburg MO 64093-8300 |
| Practice Telephone | 6604414966 |
| Mailing Telephone | 6604414966 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| 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 |
539 SE DD HWY LOT 5 |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| 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 |
|---|---|---|---|---|
| 1821339268 | Donald Gordon Berger II | Military Health Care Provider | 208 March Dr, Whiteman Afb, MO 65305-1214 | 2013-03-11 |
| 1356667687 | Benjamen E Pennington | Military Health Care Provider | 310 Houx Dr, Whiteman Afb, MO 65305-1130 | 2010-04-12 |
| 1417576018 | Zachory Woodard | Military Health Care Provider | 331 Sijen Ave, Whiteman Air Force Base, MO 65305-1269 | 2020-04-13 |
| 1992203764 | Dylan John Kielcheski | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2018-01-26 |
| 1689064875 | Merlin Jewell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2015-01-27 |
| 1346670551 | Jessica A. Pownell | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2013-11-25 |
| 1598061269 | Marcus L Bell | Military Health Care Provider | 126 Missouri Ave, Fort Leonard Wood, MO 65473 | 2011-01-28 |
| 1316173313 | Andrea Darcy Richards | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-06-04 |
| 1881829497 | Shane A Lacaillade | Military Health Care Provider | 331 Sijan Ave, Whiteman Afb, MO 65305-1269 | 2009-05-27 |
| 1093940793 | Haidee Hasty | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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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.