WILSON RODRIGUEZ (NPI# 1174884340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174884340 |
| Entity Type | Individual |
| Full Name | WILSON RODRIGUEZ |
| Credential | IDC |
| Practice Address |
19165 Puritas Ave Cleveland OH 44135-1031 |
| Practice Telephone | 2168497987 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| Street Address |
19165 PURITAS AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44135-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387840 | Zachary David Pichler | Counselor | 17113 Martha Rd, Cleveland, OH 44135 | 2018-05-25 |
| 1487176301 | Mary Ann Mtonga | Nurse's Aide | 12600 Crossburn Ave, Cleveland, OH 44135 | 2017-07-12 |
| 1477963007 | Judy Rae Brimacombe | Occupational Therapist | 4550 W. 150th Street, Rg Jones Elementary School, Cleveland, OH 44135 | 2014-05-05 |
| 1548688799 | West Park Academy, Inc. | Local Education Agency (LEA) | 12913 Bennington, Cleveland, OH 44135 | 2014-04-04 |
| 1265724108 | Applewood Centers Incorporated | Community/Behavioral Health | 15517 Louis Avenue, Cleveland, OH 44135 | 2011-05-11 |
| 1932343480 | Alpha Home Health Agency,llc | Home Health | 14836 Puritas Avenue, Cleveland, OH 44135 | 2009-04-28 |
| 1811035256 | Abeel A Mangi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Desk H-35, Cleveland Clinic Foundation, Cleveland, OH 44135 | 2007-02-01 |
| 1548341126 | Walter Michael Vieweg | Family Medicine | 5900 South Cargo Rd, Cleveland, OH 44135 | 2006-10-18 |
| 1245331511 | Javier L Clemente | Specialist/Technologist, Other | 18099 Lorain Rd, Ste 316, Cleveland, OH 44135 | 2006-09-26 |
| 1346254372 | Frank Joseph Kysela Iv | Dentist | 4406 Rocky River Dr, Cleveland, OH 44135 | 2006-07-27 |
| Find all providers in zip 44135 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255993556 | Benjamin Singleton | Military Health Care Provider | 4906 Bittern Ct, Dayton, OH 45424-4551 | 2019-07-08 |
| 1780045179 | Christopher Trimmer | Military Health Care Provider | 10228 State Route 82, Windham, OH 44288-9536 | 2016-03-11 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1982015392 | Adam Logan Vorlicky | Military Health Care Provider | 405 Main St., Oakwood, OH 45873 | 2014-05-20 |
| 1700297025 | Zachary Silveus | Military Health Care Provider | 717 G St, Findlay, OH 45840-5719 | 2014-05-09 |
| 1194152538 | Chad Henry Chartier | Military Health Care Provider | 225 S Boundary St, Edison, OH 43320-9603 | 2013-09-30 |
| 1730438797 | Sean Leibrock | Military Health Care Provider | 4816 Marshall Rd, Kettering, OH 45429-5723 | 2012-09-06 |
| 1346893153 | Ishmael Abdul-rahman | Military Health Care Provider | 445 E Dublin Granville Rd Ste G, Worthington, OH 43085-3183 | 2019-07-21 |
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| 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.