DERRICK DEWAYNE SWEAT (NPI# 1639472236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639472236 |
| Entity Type | Individual |
| Full Name | DERRICK DEWAYNE SWEAT |
| Credential | IDMT |
| Practice Address |
213 Mcnarney Dr Biloxi MS 39531-3191 |
| Practice Telephone | 2283133342 |
| Mailing Telephone | 2283133342 |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
213 MCNARNEY DR |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| 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 |
|---|---|---|---|---|
| 1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
| 1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
| 1356994362 | Zsane Wrice | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-07-18 |
| 1336608702 | Alexa Duesler | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-03-15 |
| 1992190425 | Seth Haas | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679828842 | Lakedrian Guy | Military Health Care Provider | 980 Courthouse Rd Apt 1521, Gulfport, MS 39507-4298 | 2012-07-13 |
| 1699055616 | Ashley Elizabeth Gross | Military Health Care Provider | 605 Leigh Dr Apt F50, Columbus, MS 39705-3369 | 2011-08-22 |
| 1306043641 | William Anthony Minor | Military Health Care Provider | 2603 Lower Gainsville Rd, Nattc Sbt 22, Ssc, MS 39529 | 2007-06-29 |
| 1811098361 | Alvin Watson | Military Health Care Provider | 630 Columbia St, Hattiesburg, MS 39401-2801 | 2006-09-26 |
| 1073943288 | Anna Martin | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2013-11-25 |
| 1033452206 | Jason Anthony Evans | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2013-04-05 |
| 1073846051 | Brandon C Kahili | Military Health Care Provider | 301 Fisher St, Keesler Afb, MS 39534-2508 | 2009-09-09 |
| 1528391505 | James Lewis Strawn Iv | Military Health Care Provider | 301 Fisher St, Emergency Services, Keesler Afb, MS 39534-2508 | 2009-09-09 |
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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.