MR. JAKE MATTHEW MACKINNON SOIDC
NPI 1831833953
Military Health Care Provider - Independent Duty Medical Technicians in Panama City Beach, FL

Active since April 25, 2022
350 CRAG RD, PANAMA CITY BEACH, FL 32407(760) 277-3999 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jake Matthew Mackinnon Soidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAKE MATTHEW MACKINNON SOIDC (NPI 1831833953) is an individual independent duty medical technicians provider in Panama City Beach, Florida and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1831833953
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. JAKE MATTHEW MACKINNONCredential: SOIDC
Location Address350 CRAG RDPanama City Beach, FL 32407-7013
Mailing Address350 Crag RdPanama City Beach, FL 32407-7013
Sole ProprietorNo
Enumeration DateApril 25, 2022
NPPES CertifiedApril 22, 2022
NPI 1831833953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
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.
350 CRAG RD, Panama City Beach, FL 32407

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
350 CRAG RD
PANAMA CITY BEACH, FL 32407
Military Health Care Provider (Independent Duty Corpsman)
350 CRAG RD
PANAMA CITY, FL 32407
Military Health Care Provider (Independent Duty Corpsman)
350 CRAG RD
PANAMA CITY, FL 32407
Military Health Care Provider (Independent Duty Corpsman)
350 CRAG RD
PANAMA CITY BEACH, FL 32407
General Practice
350 CRAG RD
PANAMA CITY BEACH, FL 32407
General Practice
350 CRAG RD
PANAMA CITY BEACH, FL 32407
Military Hospital
350 CRAG RD
PANAMA CITY, FL 32407
Military Health Care Provider (Independent Duty Corpsman)
350 CRAG RD
PANAMA CITY, FL 32407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jake Mackinnon's NPI number?

The NPI number for Jake Mackinnon is 1831833953. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Jake Mackinnon located?

Jake Mackinnon practices at 350 Crag Rd, Panama City Beach, FL 32407. The listed phone number is (760) 277-3999.

What is Jake Mackinnon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Jake Mackinnon was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.