MS. STEPHANIE CHRISTINE MOCK (NPI# 1962676791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962676791 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE CHRISTINE MOCK |
| Practice Address |
8501 Tanner Wms Rd Mobile AL 36608-8322 |
| Mailing Address |
8501 Tanner Williams Rd Mobile AL 36608-8322 |
| Practice Telephone | 2514416416 |
| Practice Fax Number | 2514416926 |
| Mailing Telephone | 2514416416 |
| Mailing Fax Number | 2514416415 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467849216 | Stephanie A Mock | Emergency Medical Technician, Basic | 2120 S State College Blvd Apt 2093, Anaheim, CA 92806-6240 | 2015-04-20 |
| 1932728151 | Stephanie Mock | Physician Assistant | 1450 Chapel St, New Haven, CT 06511-4405 | 2020-04-09 |
| 1477943116 | Stephanie A Mock | Pharmacy Technician | 10100 Brook Rd, Glen Allen, VA 23059-6514 | 2015-02-03 |
| Street Address |
8501 TANNER WMS RD |
| City | MOBILE |
| State | AL |
| Zip Code | 36608-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475524 | Grantham Dental, Inc. | Dentist | 3620 Springhill Memorial Drive South, Mobile, AL 36608 | 2020-10-21 |
| 1114540879 | Dearrius Hines | Home Health Aide | 1370 Lucerne Dr, Mobile, AL 36608 | 2020-05-28 |
| 1558980409 | Rachel Stevens | Registered Nurse | 8507 Tanner Williams Rd, Mobile, AL 36608 | 2020-04-10 |
| 1073170700 | Usa Health Physician Billing Services LLC | Otolaryngology | 5721 Usa Drive North, Hahn 1119, Mobile, AL 36608 | 2019-05-29 |
| 1952885600 | Franklin Primary Health Center Inc. | Dentist | 990 Cody Rd North, Mobile, AL 36608 | 2018-09-19 |
| 1114410040 | Zackary Elkins | Optometrist | 105 W I65 Service Rd N, Mobile, AL 36608 | 2018-06-14 |
| 1023562865 | Covenant Hospice, Inc. | Internal Medicine | 6801 Airport Blvd., Main Tower, 11th Floor North, Mobile, AL 36608 | 2016-08-10 |
| 1730575416 | Rayven Likely | Student in an Organized Health Care Education/Training Program | 1014 Centerwood Dr, Mobile, AL 36608 | 2015-04-09 |
| 1598040461 | Robert S Harlin | Specialist | 75 Clarise Circle, Mobile, AL 36608 | 2011-10-11 |
| 1972884948 | Heidi Michelle Mcdermott | Physical Therapist | 5721 Usa Drive N, Hahn 2050, Mobile, AL 36608 | 2011-09-06 |
| Find all providers in zip 36608 | ||||
| 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 |
|---|---|---|---|---|
| 1942341490 | Tomas Robert Gruennert | Military Health Care Provider | 8501 Tanner Williams Rd, Mobile, AL 36608-8322 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801049 | Jose Edwin Aviles | Military Health Care Provider | Kelly Street, Montgomery, AL 36112 | 2018-12-05 |
| 1780956177 | Rolando Smythe | Military Health Care Provider | 91 White Ave, Maxwell Afb, AL 36113-6301 | 2012-02-01 |
| 1881991420 | James Henry Barnett Jr. | Military Health Care Provider | 1819 Shade Ave, Florence, AL 35630-2237 | 2011-02-17 |
| 1790095222 | Brad David Nunley | Military Health Care Provider | 1339 Spring Valley Dr Ne, Arab, AL 35016-5427 | 2010-10-18 |
| 1962714303 | Randylle E Sneed | Military Health Care Provider | 6254 Taylor Ridge Rd, Montgomery, AL 36116-6509 | 2010-07-13 |
| 1912223249 | Kenena Danielle Johnson | Military Health Care Provider | 3711 Pecan Grove Dr Nw, Huntsville, AL 35810-2639 | 2010-04-12 |
| 1295979730 | Darrell Edward Kirby | Military Health Care Provider | 124 Chennault Circle, Montgomery, AL 36112 | 2009-04-28 |
| 1558505669 | Billy Houston Nored | Military Health Care Provider | 125 Chennault Cir, Montgomery, AL 36112-6008 | 2009-04-21 |
| 1396988705 | Mark K Thomas | Military Health Care Provider | 501 Lemay Plz N, Maxwell Afb, AL 36112-6025 | 2009-04-15 |
| 1295913820 | Joseph Russel Brown | Military Health Care Provider | Bld 315 Usaamc, Fort Rucker, AL 36362 | 2008-02-06 |
| Find all providers with the same taxonomy | ||||
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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.