ERIC BLACK IDMT
NPI 1558025429
Military Health Care Provider - Independent Duty Medical Technicians in Shaw Afb, SC
NPI Status: Active since October 27, 2021
Contact Information
431 MEADOWLARK ST
SHAW AFB, SC
ZIP 29152
Phone: (803) 895-2273
- Individual
- Male
- Military Health Care Provider
- Independent Duty Medical Technicians
About ERIC BLACK
This page provides the complete NPI Profile along with additional information for Eric Black, a provider established in Shaw Afb, South Carolina with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1558025429 assigned on October 2021. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1558025429
- Provider Name
- ERIC BLACK IDMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 431 MEADOWLARK ST SHAW AFB, SC 29152
- Location Phone
- (803) 895-2273
- Mailing Address
- 431 MEADOWLARK ST SHAW AFB, SC 29152
- Mailing Phone
- (803) 895-2273
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-27-2021
- Last Update Date
- 10-27-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Medical Technicians
- Taxonomy Code
- 1710I1003X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558025429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW A F B, SC 29152
SHAW AFB, SC 29152
SHAW AFB, SC 29152
SHAW AFB, SC 29152
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558025429, enumerated as an "individual" on October 27, 2021.
The provider is located at 431 MEADOWLARK ST SHAW AFB, SC 29152 and the phone number is (803) 895-2273.
Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.
