MR. EDDIE C WEBB (NPI# 1225263320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225263320 |
| Entity Type | Individual |
| Full Name | MR. EDDIE C WEBB |
| Credential | IDMT |
| Practice Address |
162 Dodd Blvd Ste 100 Langley Afb VA 23665-1916 |
| Practice Telephone | 7577645986 |
| Practice Fax Number | 7577644631 |
| Mailing Telephone | 7577645986 |
| Mailing Fax Number | 7577644631 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467567826 | Eddie B. Webb | Ambulance | 1343 Rainy River Dr, Houston, TX 77088-3522 | 2006-08-19 |
| Street Address |
162 DODD BLVD STE 100 |
| City | LANGLEY AFB |
| State | VA |
| Zip Code | 23665-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228938 | Mai Stern | Student in an Organized Health Care Education/Training Program | Langley Afb Dental Clinic, Hampton, VA 23665 | 2020-06-05 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1316574809 | Kimberly C Easterling | Student in an Organized Health Care Education/Training Program | 76 Nealy Avenue, Joint Base Langley-eustis, Hampton, VA 23665 | 2020-03-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1669950739 | Anthony Interrante IIi | Nurse Practitioner | Usaf Hospital Langley, 77 Nealy Avenue, Hampton, VA 23665 | 2018-08-01 |
| 1588189310 | Stacey Marie Jackson | Psychologist | 11 Nealy Blvd, Hampton, VA 23665 | 2017-08-14 |
| 1285062216 | Michael John Vietti | Physician Assistant | 633 Mdg 77 Nealy Ave, Yorktown, VA 23665 | 2013-10-30 |
| 1396182234 | Micaela Jane Dagucon | General Practice | 633d Mdg/sghc, 77 Nealy Avenue, Joint Base Langley-eustis, VA 23665 | 2013-06-02 |
| 1912212051 | Michele Leigh Shirley | Pharmacist | 633d Medical Group Hospital, 77 Nealy Avenue, Building 257, Joint Base Langley-eustis, VA 23665 | 2010-08-13 |
| 1497915219 | Stephen Warren Porter | Dentist | 76 Nealy Ave, 1st Dental Squadron/sgd, Langley Air Force Base, VA 23665 | 2008-06-16 |
| Find all providers in zip 23665 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| 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. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225464837 | Stephen Mitchell Harris | Military Health Care Provider | 49 Spruce St, Pcs Box 1000, Langley Afb, VA 23665-2800 | 2013-09-16 |
| 1639729106 | Michael C Etheredge II | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2019-09-17 |
| 1588123962 | Lynzy Star Lee | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2019-03-15 |
| 1720562531 | Alexander Isaac Benavidez | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2005 | 2018-09-18 |
| 1093153447 | Steven Kyle Hammond I | Military Health Care Provider | 77 Nealy Ave, 633d Mdg, Langley Afb, VA 23665-2040 | 2013-06-07 |
| 1295074714 | Ashley Nicole Abbott | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2013-02-04 |
| 1730449018 | Sarah Desiree Windsor | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2012-05-21 |
| 1336445089 | Ashley Blackwell | Military Health Care Provider | 77 Nealy Ave, Langley Afb, VA 23665-2040 | 2011-01-28 |
| 1932334752 | Keiyata K Styerjames | Military Health Care Provider | 77 Nealy Ave, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-05-22 |
| 1386879104 | Alexis D Lewis | Military Health Care Provider | 77 Nealy Ave, 1st Medical Group, Langley Afb, VA 23665-2040 | 2009-05-22 |
| Find all providers in LANGLEY AFB | ||||
| City | LANGLEY AFB |
| Zip Code | 23665 |
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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.