MR. RICARDO MIGUEL TUBBS


Address: 1001 Holcomb Rd, Portsmouth, VA 23708-2415
Phone: 7579535047

MR. RICARDO MIGUEL TUBBS (NPI# 1578573390) 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) 1578573390
Entity Type Individual
Full Name MR. RICARDO MIGUEL TUBBS
Credential IDC
Practice Address 1001 Holcomb Rd
Portsmouth
VA 23708-2415
Mailing Address 1034 Ann St
Portsmouth
VA 23704-2204
Practice Telephone 7579535047
Mailing Telephone 7572950725
Enumeration Date 2006-08-08
Last Update Date 2007-07-08
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 1001 HOLCOMB RD
City PORTSMOUTH
State VA
Zip Code 23708-2415

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932724754 William Dowling Student in an Organized Health Care Education/Training Program 260 John Paul Jones Circle, Fpo, AA 23708 2020-06-09
1760003156 Kylie Miller Student in an Organized Health Care Education/Training Program 600 John Paul Jones Circle, Portsmouth, VA 23708 2020-04-27
1750900304 Jonathan David Hickman Student in an Organized Health Care Education/Training Program Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 2020-04-14
1447716550 Nathan Le Holterman Student in an Organized Health Care Education/Training Program Navy Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 2019-02-13
1467930545 Jonathan Volland Dentist Naval Medical Center - 620 John Paul Jones Cr, Portsmouth, VA 23708 2018-08-01
1629570171 Brendan James O'shea Student in an Organized Health Care Education/Training Program 690 John Paul Jones Circle, Fpo, AA 23708 2018-03-01
1467909077 Patricia Hicks Smith Nurse Practitioner 620 John Paul Jones Blvd., Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-09-01
1790139392 Lauren Pitters Student in an Organized Health Care Education/Training Program 620 John Paul Jones Circle Drive, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2016-04-20
1841683745 Karrie Anne Brondell Walker Student in an Organized Health Care Education/Training Program 620 John Paul Jones, Naval Medical Center Portsmouth, Portsmouth, VA 23708 2015-03-17
1962821967 Jody Manners Psychiatry & Neurology 620 John Paul Jones Cir # 2e, Portsmouth, VA 23708 2014-04-08
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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
1073941811 Aaron Pines Military Health Care Provider 264 Tigerlilly Dr, Portsmouth, VA 23701-2727 2013-10-14
1558658757 Gary James Sweet Military Health Care Provider 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 2011-07-08
1093019853 Jeffrey Wilcox Military Health Care Provider Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 2011-01-07
1558592675 Kevin Leigh Russell Military Health Care Provider Msron-6, Bldg 15, Norfolk Naval Shipyard, Portsmouth, VA 23709 2009-08-06
1144479213 Jay Hays Mcdowell Sr. Military Health Care Provider Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 2008-09-15
1356533731 Teresa A Kirkland Military Health Care Provider Code 100 M, Building 277, Portsmouth, VA 23709-5000 2007-08-09
1326242215 Thomas Michael Kaptur Military Health Care Provider Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 2007-06-13
1861600389 Christopher Robin Maurer Military Health Care Provider Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 2007-05-18
1588879779 Ralph Allen Rowe Jr. Military Health Care Provider Mobile Security Squadron Six, Nnsy Bld 15, Portsmouth, VA 23709-5000 2007-05-11
1609080589 Luis Alexander Glinton Military Health Care Provider Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 2007-05-09
Find all providers in PORTSMOUTH

Competitor

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City PORTSMOUTH
Zip Code 23708

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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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