JOEL BLADES (NPI# 1558823302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558823302 |
| Entity Type | Individual |
| Full Name | JOEL BLADES |
| Credential | SOIDC |
| Practice Address |
306 Turkey Point Rd Sneads Ferry NC 28460-6734 |
| Practice Telephone | 7346468006 |
| Mailing Telephone | 7346468006 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
NC | Other Service Providers |
| Street Address |
306 TURKEY POINT RD |
| City | SNEADS FERRY |
| State | NC |
| Zip Code | 28460-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1356950612 | Carla Marie Lewis | Dental Hygienist | 1319 Nc 210, Sneads Ferry, NC 28460 | 2020-07-23 |
| 1760013940 | Pete Alfonso Walker | Emergency Medical Technician, Paramedic | Bldg Rr612 Loop Road, Sneads Ferry, NC 28460 | 2020-01-28 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1427617000 | Henrique Ferreira Silva | Dentist | 1112 Nc-210, Sneads Ferry, NC 28460 | 2019-06-07 |
| 1295212199 | Ryan Loseke | Military Health Care Provider | 3d Mrb, Camp Lejeune, NC 28460 | 2018-07-24 |
| 1053865824 | Mackenzie Shuford | Chiropractor | 211 Silver Sands Rd, Sneads Ferry, NC 28460 | 2016-08-10 |
| 1174991384 | Susan B Jensen | Nurse Practitioner | Sneads Ferry Pediatric & Family Care, 108 Lakeside Dr, Sneads Ferry, NC 28460 | 2015-09-03 |
| 1043623408 | At Home Pediatric Therapy, Inc. | Speech-Language Pathologist | 1072 Hwy 210, B, Sneads Ferry, NC 28460 | 2014-06-03 |
| Find all providers in zip 28460 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1669013785 | Andrew Sieber | Military Health Care Provider | 304 Sea Hunter Way, Sneads Ferry, NC 28460-6012 | 2019-09-30 |
| 1689137648 | Michael Adam Schiffenhaus | Military Health Care Provider | 111 Bridgeport Dr, Sneads Ferry, NC 28460-1060 | 2019-04-08 |
| 1255686770 | Eric Stephen Gilmet | Military Health Care Provider | 161 Lawndale Ln, Sneads Ferry, NC 28460-6807 | 2012-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1588274641 | Adam Randolph Smith | Military Health Care Provider | 205 Wintergreen Ln, Hubert, NC 28539-4659 | 2020-08-04 |
| 1588273999 | Jacob Johnson | Military Health Care Provider | 413 Salvo Ct, Holly Ridge, NC 28445-8609 | 2020-07-31 |
| 1790309565 | Jason C Smith | Military Health Care Provider | 113 Barrington Ct, Maple Hill, NC 28454-8659 | 2020-06-08 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| Find all providers with the same taxonomy | ||||
| City | SNEADS FERRY |
| Zip Code | 28460 |
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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.