ERIC WILLIAM STALEY


Address: 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492
Phone: 7578361351

ERIC WILLIAM STALEY (NPI# 1073812095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073812095
Entity Type Individual
Full Name ERIC WILLIAM STALEY
Credential NAVY IDC
Practice Address 7958 Blandy Road
Commander Submarine Force Atlantic
Norfolk
VA 23551-2492
Practice Telephone 7578361351
Practice Fax Number 7578361352
Mailing Telephone 7578361351
Mailing Fax Number 7578361352
Enumeration Date 2011-03-16
Last Update Date 2011-03-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
Other Service Providers

Office Location

Street Address 7958 BLANDY ROAD
COMMANDER SUBMARINE FORCE ATLANTIC
City NORFOLK
State VA
Zip Code 23551-2492

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407820426 Jeffery Wayne Paulson Family Medicine Fleet Forces Command, 1562 Mitscher Ave, Ste 250, Norfolk, VA 23551-0001 2006-02-15
1891775532 Martin Lewis Snyder Surgery U.S.fleet Forces Command-command Surgeon, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 2006-01-19
1366420853 Supakunya Edmonson Family Medicine Uss Enterprise, Medical Dept, Norfolk, VA 23551-0001 2006-01-04
1871585448 Tiffany A Jones Dental Hygienist Uss John F. Kennedy Cv-67, 1562 Mitscher Ave Suite 250, Norfolk, VA 23551-0001 2005-08-18
1831724061 Steven Mitchell Hartzler Physician Assistant 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 2020-03-09
1194205716 Caleb Swain Student in an Organized Health Care Education/Training Program 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 2018-08-14
1548757263 Dylan Griffiths Student in an Organized Health Care Education/Training Program 1775 Forrestal Dr, Norfolk, VA 23551-0001 2018-04-18
1184129629 Michael Uriah Hoerner Student in an Organized Health Care Education/Training Program Us Marine Corps Forces Command 1775 Forrestal Drive, Norfolk, VA 23551-0001 2018-03-27
1992208763 Philippe Andrew Warren Student in an Organized Health Care Education/Training Program 1775 Forrestal Dr Bldg 33, Norfolk, VA 23551-0001 2018-03-17
1780955534 Christopher Halagarda Dietitian, Registered Us Marine Corps Forces Command, 1775 Forrestal Drive, Norfolk, VA 23551-0001 2012-01-25
Find all providers in zip 23551

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447814090 Francis Anthony Edquid Military Health Care Provider 9560 Farragut Ave, Norfolk, VA 23511-2715 2019-04-30
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1841694684 Andre Huggins Military Health Care Provider 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 2014-10-21
1861753030 Spencer Grey Military Health Care Provider 334 E Evans St, Norfolk, VA 23503-5213 2012-06-05
1508155375 Leonard B Gordon Military Health Care Provider Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 2011-04-01
1497051460 Mitchell Todd Pearce Military Health Care Provider 1004 Hermitage Rd., Norfolk, VA 23521-5000 2011-02-08
1003119538 Shayla R Robertson Military Health Care Provider 150 Allen St, Norfolk, VA 23505-1373 2010-12-05
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1750610788 Melissa Christine Foster Military Health Care Provider 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 2009-12-22
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23551

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Dataset Information

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.

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