JEREMY SCOTT RODESKY (NPI# 1043779275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043779275 |
| Entity Type | Individual |
| Full Name | JEREMY SCOTT RODESKY |
| Practice Address |
1526 Hurst Dr Pope Field AA 28308 |
| Mailing Address |
510 E Glen Mare Dr Middletown DE 19709-8772 |
| Practice Telephone | 9137026488 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| 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 |
1526 HURST DR |
| City | POPE FIELD |
| State | AA |
| Zip Code | 28308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770138018 | William Ayers Kelly Iv | Specialist/Technologist | 1520 Hurst St, Fort Bragg, NC 28308 | 2019-08-05 |
| 1285953588 | Michael Patrick Sweeney | Physician Assistant | Bldg 3050 Malvesti Drive, Pope Army Airfield, NC 28308 | 2010-05-26 |
| 1710116595 | Patrick Joseph Hunt | Military Health Care Provider | 1 Matero Dr, Ol-c 342trs, Pope, NC 28308 | 2009-07-14 |
| 1013142231 | Joshua Douglas Stephenson | Emergency Medical Technician, Paramedic | 1 Matero Drive, Pope Field, NC 28308 | 2009-05-18 |
| 1972747863 | Barry Alan Frasier | Emergency Medical Technician, Paramedic | 3-1947 Malvesti Road, Pope Afb, NC 28308 | 2009-04-23 |
| 1598844854 | Patrick Sean O'maille | Psychologist | 24 Sts, Pope Afb, Pope Afb, NC 28308 | 2006-11-06 |
| 1467463901 | John Benjamin Warburton | Student in an Organized Health Care Education/Training Program | 829 Armistead St., 43 Mdos/sgoh, Pope Afb, NC 28308 | 2006-08-10 |
| 1386639540 | Christopher Michael Collier | Dentist | 43 Mdg/sggd, 383 Maynard St., Pope Afb, NC 28308 | 2005-09-14 |
| 1932580305 | April Marie Brown | Military Health Care Provider | 1398 Surveyor St, 43 Aes, Pope Aaf, NC 28308 | 2015-06-11 |
| 1356745350 | Hector Luis Luna | Physician Assistant | 383 Maynard St, Bldg 307, Pope Aaf, NC 28308 | 2014-10-20 |
| Find all providers in zip 28308 | ||||
| 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 |
|---|---|---|---|---|
| 1881245967 | Grant M Golombeski | Military Health Care Provider | 300 S Twinning Dr., Apo, AA 36112 | 2019-09-20 |
| City | POPE FIELD |
| Zip Code | 28308 |
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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.