MR. MICHAEL THOMAS HEDDEN (NPI# 1982977153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982977153 |
Entity Type | Individual |
Full Name | MR. MICHAEL THOMAS HEDDEN |
Credential | IDC |
Practice Address |
1317 Richwood Ave Chesapeake VA 23323-5746 |
Practice Telephone | 7579535919 |
Practice Fax Number | 7579534247 |
Mailing Telephone | 7579535919 |
Mailing Fax Number | 7579534247 |
Enumeration Date | 2012-02-17 |
Last Update Date | 2012-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760753834 | Michael R Hedden | Counselor | 1718 W Colter St Unit 183, Phoenix, AZ 85015-2956 | 2012-01-22 |
1053391516 | Michael Hedden | Anesthesiology | 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907-3991 | 2006-01-20 |
Street Address |
1317 RICHWOOD AVE |
City | CHESAPEAKE |
State | VA |
Zip Code | 23323-5746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417413444 | Tiwana Lynn Jordan | Driver | 2139 Chesterfield Loop, Chesapeake, VA 23323 | 2019-02-14 |
1578040051 | Utopia C&c LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1212 Excalibur Ct, Chesapeake, VA 23323 | 2018-07-26 |
1851755003 | Behavior Analytic Associates | Behavioral Analyst | 522 Atamasco St, Chesapeake, VA 23323 | 2016-04-13 |
1134297344 | D Machelle Kerr | Chiropractor | 164 S George Washington Hwy, Chesapeake, VA 23323 | 2006-12-04 |
1053403816 | Cathy L. Rearden | Dentist | 2346 Cedar Road, Chesapeake, VA 23323 | 2006-09-29 |
1306857909 | Jose Dabu Leoncio | Family Medicine | 1061 Ne Washington Hwy, Chesapeake, VA 23323 | 2006-08-10 |
1952370702 | George Washington Health & Rehab of Chesapeake, Inc | Skilled Nursing Facility | 1017 George Washington Hwy., Chesapeake, VA 23323 | 2006-03-15 |
1528040474 | Dr George E Berryman Dds | Dentist | 838 Old George Washington Hwy, Suite C, Chesapeake, VA 23323 | 2005-11-16 |
1891216933 | Black Top Town Car Service LLC | Non-emergency Medical Transport (VAN) | 410 Millhouse Ct, Chesapeake, VA 23323-0882 | 2017-06-29 |
1609048651 | Hope Offord-powell | Speech-Language Pathologist | 404 Undershot Ct, Chesapeake, VA 23323-0883 | 2008-03-31 |
Find all providers in zip 23323 |
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 |
---|---|---|---|---|
1346661550 | Angel Daniel Rendon | Military Health Care Provider | 865 Royal Grove Ct, Chesapeake, VA 23320-6564 | 2013-12-16 |
1366872772 | Matthew John Watton | Military Health Care Provider | 1414 Sabbath Ln, Chesapeake, VA 23320-3348 | 2013-11-21 |
1932533601 | Ernesto Carrasquillo IIi | Military Health Care Provider | 1804 Crestmont Place, Apt 302, Chesapeake, VA 23320 | 2013-08-29 |
1336582774 | Mario Delano Phillips Jr. | Military Health Care Provider | 745 Eden Way North, Chesapeake, VA 23320 | 2013-04-16 |
1871845313 | Jennifer Renee Otterbach | Military Health Care Provider | 4000 Hailey Ct, Chesapeake, VA 23321-3137 | 2012-10-08 |
1588925754 | Christian Marsh | Military Health Care Provider | 707 Washington Dr, Chesapeake, VA 23322-7327 | 2012-06-05 |
1801126289 | Daniel Michael Covitz | Military Health Care Provider | 1317 Ballahack Rd. Ste 100, Capt W.l. Mcgonagle Branch Clinic Nsa Northwest, Chesapeake, VA 23322-2463 | 2010-01-06 |
1538319223 | Christopher Golden | Military Health Care Provider | 201 Thoroughbred Ln, Chesapeake, VA 23320-3061 | 2008-09-30 |
1902069990 | Huben Lindale Phillips | Military Health Care Provider | 2803 Meadow Wood Ct W, Chesapeake, VA 23321-4228 | 2008-07-09 |
1649439605 | Louis Eugene Raiford | Military Health Care Provider | 217 Heritage Oak Dr, Chesapeake, VA 23320-9501 | 2008-06-05 |
Find all providers in CHESAPEAKE |
City | CHESAPEAKE |
Zip Code | 23323 |
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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.