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Jonathon David Powell

Military Health Care Provider, Independent Duty Corpsman in Springfield Gardens, NY. Individual provider (NPI-1).

NPI number1346785136
StatusActive
Last updated in NPPESJan 3, 2017

Details

NPI
1346785136
Entity type
Individual (NPI-1)
Name
Jonathon David Powell
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 3, 2017
Last updated
Jan 3, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

18524 140th Ave
Springfield Gardens, NY 11413-2614

Phone 860-694-2876

Mailing address

18524 140th Ave
Springfield Gardens, NY 11413-2614

Phone 858-666-5232

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