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ROWDY PAMETICKY IDC
NPI 1043747553
Military Health Care Provider - Independent Duty Corpsman in Diamondhead, MS

Active since May 15, 2017
952 PONI PL, DIAMONDHEAD, MS 39525(228) 813-4000 Get Directions Write a Review

NPPES record last updated: May 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rowdy Pameticky Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROWDY PAMETICKY IDC (NPI 1043747553) is an individual independent duty corpsman provider in Diamondhead, Mississippi and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1043747553
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameROWDY PAMETICKYCredential: IDC
Location Address952 PONI PLDiamondhead, MS 39525-4135
Mailing Address2603 Lower Gainsville RdStennis Ctr, MS 39529-0001
Phone(228) 813-4000
Sole ProprietorNo
Enumeration DateMay 15, 2017
✔ NPI 1043747553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
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.
952 PONI PL, Diamondhead, MS 39525
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rowdy Pameticky's NPI number?

The NPI number for Rowdy Pameticky is 1043747553. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Where is Rowdy Pameticky located?

Rowdy Pameticky practices at 952 Poni Pl, Diamondhead, MS 39525. The listed phone number is (228) 813-4000.

What is Rowdy Pameticky's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Rowdy Pameticky was last updated on May 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.