MITCHELL TODD PEARCE


Address: 1004 Hermitage Rd., Norfolk, VA 23521-5000
Phone: 7574623210

MITCHELL TODD PEARCE (NPI# 1497051460) 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) 1497051460
Entity Type Individual
Full Name MITCHELL TODD PEARCE
Credential IDC
Practice Address 1004 Hermitage Rd.
Norfolk
VA 23521-5000
Mailing Address 1004 Hermitage Rd.
Virginia Beach
VA 23459-7006
Practice Telephone 7574623210
Practice Fax Number 7574623179
Mailing Telephone 7574623210
Mailing Fax Number 7574623179
Enumeration Date 2011-02-08
Last Update Date 2011-02-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Other Providers MITCHELL PEARCE

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1932555885 Mitchell Pearce Student in an Organized Health Care Education/Training Program 602 Ivy Street, Elmira, NY 14905 2016-05-10
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Office Location

Street Address 1004 HERMITAGE RD.
City NORFOLK
State VA
Zip Code 23521-5000

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720352958 Omar Antonio Pescador Military Health Care Provider Seal Team 10 Medical Department, Bldg 3808, Virginia Beach, VA 23521 2012-03-06
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1750610788 Melissa Christine Foster Military Health Care Provider 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 2009-12-22
1396837068 Sharon A Raghubar Dentist Nab Little Creek, 1035 Nider Blvd. Suite 200, Norfolk, VA 23521 2006-09-29
1073581823 Karen Hintz Charlton Physician Assistant 1035 Nidar Blvd, Norfolk, VA 23521 2006-03-09
1518937846 Timothy Paul Tobin Optometrist Branch Medical Clinic, Little Creek, 1035 Nider Blvd Ste 100, Norfolk, VA 23521 2006-01-26
1225273691 Jason Paul Arceneaux Military Health Care Provider 1355 Helicopter Rd, Norfolk, VA 23521 2008-12-12
1679749220 Christopher J Marquez Military Health Care Provider 1840 Gator Blvd, Seal Team Two Bldg 3841, Norfolk, VA 23521 2008-05-05
1073513099 Thomas Schlater Optometrist 1035 Nider Blvd, Norfolk, VA 23521 2005-08-01
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Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447814090 Francis Anthony Edquid Military Health Care Provider 9560 Farragut Ave, Norfolk, VA 23511-2715 2019-04-30
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1841694684 Andre Huggins Military Health Care Provider 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 2014-10-21
1861753030 Spencer Grey Military Health Care Provider 334 E Evans St, Norfolk, VA 23503-5213 2012-06-05
1508155375 Leonard B Gordon Military Health Care Provider Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 2011-04-01
1073812095 Eric William Staley Military Health Care Provider 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 2011-03-16
1003119538 Shayla R Robertson Military Health Care Provider 150 Allen St, Norfolk, VA 23505-1373 2010-12-05
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1750610788 Melissa Christine Foster Military Health Care Provider 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 2009-12-22
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Competitor

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City NORFOLK
Zip Code 23521

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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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