MR. MICHAEL BRIAN SEXTON


Address: Fpo Ap 96662-2418, Uss Columbus Ssn 762, Pearl Harbor, HI 96860
Phone: 3607201096

MR. MICHAEL BRIAN SEXTON (NPI# 1831124007) 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) 1831124007
Entity Type Individual
Full Name MR. MICHAEL BRIAN SEXTON
Credential IDC MILITARY
Practice Address Fpo Ap 96662-2418
Uss Columbus Ssn 762
Pearl Harbor
HI 96860
Mailing Address 20 Ellis St
Freehold
NJ 07728-1810
Practice Telephone 3607201096
Mailing Telephone 3607201096
Enumeration Date 2006-07-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

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Office Location

Street Address FPO AP 96662-2418
USS COLUMBUS SSN 762
City PEARL HARBOR
State HI
Zip Code 96860

Providers in the same zip code

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
1275860603 Michael J. Rodriguez Military Health Care Provider 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 2009-11-05
Find all providers in zip 96860

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
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
1275860603 Michael J. Rodriguez Military Health Care Provider 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 2009-11-05
1437356912 Corey Lee Mccloud Military Health Care Provider Navy Health Clinic Hawaii, Makalapa Family Pratice Clinic, Pearl Harbor, HI 96706 2007-06-28
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

Competitor

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City PEARL HARBOR
Zip Code 96860

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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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