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
- 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
- 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 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) |
---|---|---|---|---|
1 | 171000000X | Other Service Providers | Military Health Care Provider | |
2 | 1710I1003X | Other Service Providers | Military Health Care Provider | |
3 | 261QM1102X | Ambulatory Health Care Facilities | Clinic/Center | |
4 | 261QM1103X | Ambulatory Health Care Facilities | Clinic/Center | |
5 | 286500000X | Hospitals | 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 |
---|---|---|---|
1384550807 | OTHER (01) | IL | DOD 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. | |||||||||
1 | 8 | 0 | 1 | 4 | 4 | 5 | 6 | 6 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 0 | 1 | 8 | 4 | 10 | 6 | 12 | |
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 = 3 | 3 |
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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