MR. MICHAEL J. RODRIGUEZ (NPI# 1275860603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275860603 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J. RODRIGUEZ |
| Credential | SUBMARINE IDC |
| Practice Address |
822 Clark St. Nssc Medical Suite 400 Pearl Harbor HI 96860 |
| Mailing Address |
Uss Key West #ssn722 Fpo AP 96683-2402 |
| Practice Telephone | 8084733771 |
| Practice Fax Number | 8084733109 |
| Mailing Telephone | 8084715625 |
| Mailing Fax Number | 8084733109 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TRICARE | 7383 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538694716 | Michael Rodriguez | Student in an Organized Health Care Education/Training Program | 1836 South Avenue, La Crosse, WI 54601 | 2017-04-26 |
| 1013466366 | Michael Jordy Rodriguez | Social Worker | 4828 196th Pl, Fresh Meadows, NY 11365 | 2016-09-28 |
| 1528356284 | Michael Rodriguez | Otolaryngology | 20325 N 51st Ave Ste 154, Glendale, AZ 85308-4622 | 2011-07-15 |
| 1639463045 | Michael Edward Rodriguez | Dentist | 1127 Del Prado Blvd S, Suite D,e, Cape Coral, FL 33990-3692 | 2011-06-02 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1184881559 | Michael Rodriguez | Psychologist | 2021 Sperry Ave Ste 20, Ventura, CA 93003-7446 | 2008-05-21 |
| 1821194218 | Michael Anthony Rodriguez | Chiropractor | 5083 Arlington Avenue, Riverside, CA 92504-3356 | 2006-09-15 |
| 1912984642 | Michael Charles Rodriguez | Dentist | 128 Mentor Ave, Painesville, OH 44077-3232 | 2005-12-23 |
| 1548252075 | Michael J Rodriguez | Chiropractor | 545 W Granada Blvd, Ormond Beach, FL 32174-5103 | 2005-08-19 |
| 1215933064 | Michael A Rodriguez | Obstetrics & Gynecology | 929 Graham Dr, Ste B, Tomball, TX 77375-3338 | 2005-06-27 |
| Street Address |
822 CLARK ST. NSSC MEDICAL SUITE 400 |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1679766927 | Colin Patrick Lentz | Dentist | 1407 Makalapa Rd, Makalapa Naval Health Clinic (dental Core), Pearl Harbor, HI 96860 | 2007-08-21 |
| Find all providers in zip 96860 | ||||
| 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 |
|---|---|---|---|---|
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1750691291 | Ronald Bruce Rutherford | Military Health Care Provider | 850 Ticonderoga St Ste 110, Pearl Harbor, HI 96860-4460 | 2010-10-18 |
| 1194043992 | Keith Allen Laubinger | Military Health Care Provider | 1210 Battleship Dr, Unit # 132, Pearl Harbor, HI 96860-4301 | 2010-05-04 |
| 1437356912 | Corey Lee Mccloud | Military Health Care Provider | Navy Health Clinic Hawaii, Makalapa Family Pratice Clinic, Pearl Harbor, HI 96706 | 2007-06-28 |
| 1831124007 | Michael Brian Sexton | Military Health Care Provider | Fpo Ap 96662-2418, Uss Columbus Ssn 762, Pearl Harbor, HI 96860 | 2006-07-12 |
| 1285698969 | Manuel Contreras Jr. | Military Health Care Provider | Uss Russell Ddg59, Pearl Harbor, HI 96782 | 2006-04-12 |
| 1205043726 | Michael James Haughey | Military Health Care Provider | 822 Clark St, Suite 400, Pearl Harbor, HI 96860-4652 | 2007-05-16 |
| Find all providers in PEARL HARBOR | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
Please comment or provide details below to improve the information on MR. MICHAEL J. RODRIGUEZ.
| 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.