ERIK WILLIAM RODRIGUEZ


Address: 106 Purple Martin Pl, Fayetteville, NC 28306-8262
Phone: 4789971343

ERIK WILLIAM RODRIGUEZ (NPI# 1417191974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417191974
Entity Type Individual
Full Name ERIK WILLIAM RODRIGUEZ
Credential IDMT
Practice Address 106 Purple Martin Pl
Fayetteville
NC 28306-8262
Practice Telephone 4789971343
Mailing Telephone 4789971343
Enumeration Date 2009-04-28
Last Update Date 2009-04-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

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1891258471 Erik Rodriguez Student in an Organized Health Care Education/Training Program 677 Church St Ne, Marietta, GA 30060-1101 2019-04-10
1851695498 Erik E Rodriguez Physician Assistant 27650 Ferry Rd, Warrenville, IL 60555-3845 2010-12-22
1457598674 Erik Alan Rodriguez Speech-Language Pathologist 232 Lindberg Ave, Mcallen, TX 78501-2920 2009-01-09

Office Location

Street Address 106 PURPLE MARTIN PL
City FAYETTEVILLE
State NC
Zip Code 28306-8262

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013539501 Lauren Lockhart Pharmacist 5106 Nc-87 #100, Fayetteville, NC 28306 2020-05-07
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1245708213 Catherine H Cox Speech-Language Pathologist Southeastern Communication and Swallowing Specialists, 3530 Boone Trail, Fayetteville, NC 28306 2018-11-08
1720446776 Wal-mart Store East, Lp Technician/Technologist 2820 Gillespie St., Fayetteville, NC 28306 2016-02-05
1720460017 Sridhar Gottipati Pharmacist 10072 Southern Ave., Fayetteville, NC 28306 2015-06-23
1942687900 St Marys Hca of South Carolina Clinic/Center 2603 Cumberland Gap Drive, Suite 203, Fayetteville, NC 28306 2015-04-29
1649696204 Kathryn Dries Nurse Practitioner 7496 Rockfish Road, Fayetteville, NC 28306 2014-03-06
1508288218 Teresa Mcneill Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3608 Pickerel St, Fayetteville, NC 28306 2014-01-15
1740535715 Harris Teeter, LLC Pharmacy 3050 Traemoor Village Dr, Fayetteville, NC 28306 2012-07-17
1184928848 Hanora Medical Center, Pllc Internal Medicine 2620 Owen Dr, Fayetteville, NC 28306 2011-01-10
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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy 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.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962637504 Christopher Michael Lohr Military Health Care Provider 102 Partridge Rd, Fayetteville, NC 28306-8235 2009-05-27
1699919795 Charles J Ross Military Health Care Provider 5809 Ivanhoe Ct Apt 18, Fayetteville, NC 28314-4461 2009-04-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1225425655 Justin Wells Military Health Care Provider 1398 Surveyor St, Pope Army Airfield, NC 28308-2710 2015-04-23
1912267295 Amber Lynn Scouton Military Health Care Provider 215 Bolling Dr, Goldsboro, NC 27534-5527 2012-05-21
1750662417 Daryl Bradley Military Health Care Provider 146 Tulane Dr, Raeford, NC 28376 2011-09-07
1811211642 Leasa C Novotny Military Health Care Provider 271 Sheridan Forest Rd Apt 1200, Goldsboro, NC 27534-7155 2010-03-23
1467784926 James Blake Little Military Health Care Provider 300 Meadow Rd, Goldsboro, NC 27534-8759 2010-02-09
1710116595 Patrick Joseph Hunt Military Health Care Provider 1 Matero Dr, Ol-c 342trs, Pope, NC 28308 2009-07-14
1184850760 Jose Victor Nazario Military Health Care Provider 628 Ed Moye Rd, La Grange, NC 28551-8888 2009-06-09
1194932673 Thomas Harrison Gentry IIi Military Health Care Provider 110 Fieldcrest Dr, Jacksonville, NC 28546-9673 2007-05-16
1528044872 Tina M Starling Military Health Care Provider U.S. Coast Guard, Support Center Medical, Elizabeth City, NC 27909 2005-12-19
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Competitor

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City FAYETTEVILLE
Zip Code 28306

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Dataset Information

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.

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