MIGUEL ANTONIO RODRIGUEZ JR. (NPI# 1982175113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982175113 |
| Entity Type | Individual |
| Full Name | MIGUEL ANTONIO RODRIGUEZ JR. |
| Credential | IDMT |
| Practice Address |
690 Barnes Blvd Joint Base Lewis Mcchord WA 98438-1303 |
| Mailing Address |
19330 18th Avenue Ct E Spanaway WA 98387-8590 |
| Practice Telephone | 1800404450 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453919 | Miguel Rodriguez | Physical Therapy Assistant | 7350 Sw 32nd St, Miami, FL 33155-2725 | 2014-10-27 |
| 1780835207 | Miguel Angel Rodriguez | Registered Nurse | 131 S Rueckle Rd Lot 33, New Braunfels, TX 78130-9726 | 2008-10-02 |
| 1326203662 | Miguel Ulises Rodriguez | Case Manager/Care Coordinator | 2275 S. Main St, Corona, CA 92882 | 2008-07-25 |
| 1477736262 | Miguel Angel Rodriguez | Podiatrist | 500 N Garfield Ave Ste 108, Monterey Park, CA 91754-1242 | 2007-12-14 |
| 1588868954 | Miguel Angel Rodriguez | Physician Assistant | Carretera 185 Km. 20 Barrio Gurabo Abajo, Juncos, PR 00777 | 2007-06-12 |
| 1235344979 | Miguel Angel Rodriguez | General Practice | Calle 22 Urb. Santa Rosa, Bloque 40 #20, Bayamon, PR 00960-6551 | 2007-05-14 |
| 1457579286 | Miguel A. Rodriguez | Social Worker | 2203 Rito Morell, Villa Grillasca, Ponce, PR 00717-0563 | 2007-04-24 |
| 1417170069 | Miguel A Rodriguez | Psychologist | Bosque St Rayio Centro, Suite 302, Mayaguez, PR 00680 | 2007-04-11 |
| 1053454041 | Miguel A Rodriguez | Pediatrics | Font Martelo 355, Humacao, PR 00791 | 2007-02-15 |
| 1851470942 | Miguel Angel Rodriguez | Pharmacist | 211 Ave.jose De Diego, Arecibo, PR 00614 | 2006-11-02 |
| Street Address |
690 BARNES BLVD |
| City | JOINT BASE LEWIS MCCHORD |
| State | WA |
| Zip Code | 98438-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600068 | Kathleen Greenhalgh | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2005-09-23 |
| 1184135428 | Eric Logan Dorner | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-13 |
| 1952812349 | Jodie Mitchell | Case Manager/Care Coordinator | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1093226458 | Jayce Moody | Dental Hygienist | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-10-12 |
| 1861916801 | Christopher D Lucio Strayer | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-08-01 |
| 1154877645 | Chanel Pedersen | Licensed Practical Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-08-25 |
| 1063864809 | Tom Thomas | Registered Nurse | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2016-07-05 |
| 1407228737 | Jamye Patrice Gore | Nurse Practitioner | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2015-10-26 |
| 1922488360 | Alexander Dominic Jobrack | Preventive Medicine | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1336 | 2015-06-01 |
| 1255677225 | Lois Fisher | Counselor | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2012-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457810483 | Roveds Kaarins | Nursing Care | Mcchord Air Force Base Clinic, 690 Barnes Blvd Jblm Lakewood Wa, Apo, AA 98438 | 2019-03-19 |
| 1326459843 | Dr Larsen Eye Care Inc | Optometrist | 504 A St Mcchord Main Exchange, Ft. Lewis Mcchord Afb, WA 98438 | 2014-05-19 |
| 1548580392 | Kevin Lok | Family Medicine | 600 Barnes Blvd., Mcchord Medical Clinic, Jblm, WA 98438 | 2010-06-03 |
| 1720205578 | Nathan Kane Fosmore | Registered Nurse | Us Dept of The Us Airforce, 690 Barnes Blvd, Mcchord Afb, WA 98438 | 2007-04-20 |
| 1225176951 | Ronald Richardson Morris | Family Medicine | 690 Barnes Road, Mcchord Medical Clinic Fam Med Clinic, Joint Base Lewis Mcchord, WA 98438 | 2007-02-02 |
| 1770527418 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | A Street Bldg 504, Mcchord Afb, WA 98438 | 2006-06-15 |
| 1982660692 | Shanti Jones | Registered Nurse | 62nd Med Group, 690 Barnes Ave, Mcchord Afb, WA 98438 | 2006-04-21 |
| 1578547436 | Cynthia Lee Fry-spray | Physician Assistant | 691 Barnes Blvd, Mcchord Afb, WA 98438 | 2005-12-05 |
| 1366432171 | Robert Dean Rock | Dentist | 527 Barnes Blvd, Mcchord Air Forse Base Dental Clinic, Mcchord, WA 98438 | 2005-10-24 |
| 1457344913 | Norman Harris | Dentist | 62mdos/sgod 690 Barnes Blvd., Mcchord Afb, WA 98438 | 2005-08-30 |
| Find all providers in zip 98438 | ||||
| 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 |
|---|---|---|---|---|
| 1861916801 | Christopher D Lucio Strayer | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2017-08-01 |
| 1699072199 | Daniel Scott Miller | Military Health Care Provider | 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438-1303 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598232902 | Jozlinn Rae | Military Health Care Provider | 3710 N Garry Rd, Otis Orchards, WA 99027-9397 | 2018-10-24 |
| 1790236503 | Mark Friskel | Military Health Care Provider | 5759a Fort Wright Oval, Fairchild Afb, WA 99011-2203 | 2016-10-17 |
| 1356682702 | Stacie Michelle Hoeger | Military Health Care Provider | 7505 N Wall St, Spokane, WA 99208-6104 | 2013-03-11 |
| 1013200757 | Leesa M Smith | Military Health Care Provider | 10447b Longmire Rd, Fort Lewis, WA 98433 | 2011-05-26 |
| 1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
| 1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
| 1699919696 | Jason Stone Weiss | Military Health Care Provider | 3222 E 35th Ave, Spokane, WA 99223-4125 | 2009-04-22 |
| 1083783336 | Ronald Merel Husman | Military Health Care Provider | Uss Ford Ffg 54, Attn Medical Department, Fpo Ap, WA 96665-1508 | 2006-11-08 |
| 1053370254 | Erica Clarkson | Military Health Care Provider | Madigan Physical Therapy, Tacoma, WA 98431-0001 | 2006-03-17 |
| 1730691148 | Bryce Ferland | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
| City | JOINT BASE LEWIS MCCHORD |
| Zip Code | 98438 |
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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.