MR. SCOTT LAFOUNTAINE (NPI# 1902066731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902066731 |
| Entity Type | Individual |
| Full Name | MR. SCOTT LAFOUNTAINE |
| Credential | SF-IDC |
| Practice Address |
1840 Cove Road Naval Special Warfare Group Two Medical Department Norfolk VA 23521-2100 |
| Practice Telephone | 7574623025 |
| Practice Fax Number | 7574624013 |
| Mailing Telephone | 7574623025 |
| Mailing Fax Number | 7574624013 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| 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 |
| Street Address |
1840 COVE ROAD NAVAL SPECIAL WARFARE GROUP TWO MEDICAL DEPARTMENT |
| City | NORFOLK |
| State | VA |
| Zip Code | 23521-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720352958 | Omar Antonio Pescador | Military Health Care Provider | Seal Team 10 Medical Department, Bldg 3808, Virginia Beach, VA 23521 | 2012-03-06 |
| 1013219591 | Naval Special Warfare Group Three Det Little Creek | Military Hospital | 1840 Intercove Rd, Norfolk, VA 23521 | 2010-12-03 |
| 1750610788 | Melissa Christine Foster | Military Health Care Provider | 2901 Amphibious Drive, Acu-2, Norfolk, VA 23521 | 2009-12-22 |
| 1396837068 | Sharon A Raghubar | Dentist | Nab Little Creek, 1035 Nider Blvd. Suite 200, Norfolk, VA 23521 | 2006-09-29 |
| 1073581823 | Karen Hintz Charlton | Physician Assistant | 1035 Nidar Blvd, Norfolk, VA 23521 | 2006-03-09 |
| 1518937846 | Timothy Paul Tobin | Optometrist | Branch Medical Clinic, Little Creek, 1035 Nider Blvd Ste 100, Norfolk, VA 23521 | 2006-01-26 |
| 1225273691 | Jason Paul Arceneaux | Military Health Care Provider | 1355 Helicopter Rd, Norfolk, VA 23521 | 2008-12-12 |
| 1679749220 | Christopher J Marquez | Military Health Care Provider | 1840 Gator Blvd, Seal Team Two Bldg 3841, Norfolk, VA 23521 | 2008-05-05 |
| 1073513099 | Thomas Schlater | Optometrist | 1035 Nider Blvd, Norfolk, VA 23521 | 2005-08-01 |
| 1205018819 | Keith Staples | Military Health Care Provider | 1310 8th St, Suite 100, Norfolk, VA 23521-2416 | 2007-12-05 |
| Find all providers in zip 23521 | ||||
| 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 |
|---|---|---|---|---|
| 1447814090 | Francis Anthony Edquid | Military Health Care Provider | 9560 Farragut Ave, Norfolk, VA 23511-2715 | 2019-04-30 |
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1841694684 | Andre Huggins | Military Health Care Provider | 1687 Pocahontas St, Bldg 1a, Norfolk, VA 23511-2918 | 2014-10-21 |
| 1861753030 | Spencer Grey | Military Health Care Provider | 334 E Evans St, Norfolk, VA 23503-5213 | 2012-06-05 |
| 1508155375 | Leonard B Gordon | Military Health Care Provider | Comnavsurflant N02m, 1430 Mitscher Ave, Norfolk, VA 23551-2494 | 2011-04-01 |
| 1073812095 | Eric William Staley | Military Health Care Provider | 7958 Blandy Road, Commander Submarine Force Atlantic, Norfolk, VA 23551-2492 | 2011-03-16 |
| 1497051460 | Mitchell Todd Pearce | Military Health Care Provider | 1004 Hermitage Rd., Norfolk, VA 23521-5000 | 2011-02-08 |
| 1003119538 | Shayla R Robertson | Military Health Care Provider | 150 Allen St, Norfolk, VA 23505-1373 | 2010-12-05 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| Find all providers in NORFOLK | ||||
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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.