BENJAMIN JACOB GOMEZ IDC
NPI 1801445663
Military Health Care Provider - Independent Duty Corpsman in Pearl City, HI

NPI Status: Active since September 05, 2019

Contact Information

2001 VICTOR WHARF
PEARL CITY, HI
ZIP 96782
Phone: (954) 614-7005

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About BENJAMIN GOMEZ

This page provides the complete NPI Profile along with additional information for Benjamin Gomez, a provider established in Pearl City, Hawaii with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1801445663 assigned on September 2019. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1801445663
Provider Name
BENJAMIN JACOB GOMEZ IDC
Gender
Male
Entity Type
Individual
Location Address
2001 VICTOR WHARF PEARL CITY, HI 96782
Location Phone
(954) 614-7005
Mailing Address
2001 VICTOR WHARF PEARL CITY, HI 96782
Mailing Phone
(954) 614-7005
Is Sole Proprietor?
Yes
Enumeration Date
09-05-2019
Last Update Date
12-17-2019
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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 Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171000000XOther Service Providers

Military Health Care Provider

 
21710I1003XOther Service Providers

Military Health Care Provider
Independent Duty Medical Technicians

 
3261QM1102XAmbulatory Health Care Facilities

Clinic/Center
Military Outpatient Operational (Transportable) Component

 
4261QM1103XAmbulatory Health Care Facilities

Clinic/Center
Military Ambulatory Procedure Visits Operational (Transportable)

 
5286500000XHospitals

Military Hospital

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1384550807OTHER (01)ILDOD ID

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1801445663
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28018410612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 4 + 1 + 0 + 6 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1801445663 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801445663, enumerated in the NPI registry as an "individual" on September 05, 2019

The provider is located at 2001 Victor Wharf Pearl City, Hi 96782 and the phone number is (954) 614-7005

The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 05, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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