JEDIDIAH E. JOHNSON HS1, IDC
NPI 1114000130
Military Health Care Provider - Independent Duty Corpsman in Homer, AK
NPI Status: Active since October 23, 2006
- Individual
- Male
- Military Health Care Provider
- Independent Duty Corpsman
About JEDIDIAH JOHNSON
This page provides the complete NPI Profile along with additional information for Jedidiah Johnson, a provider established in Homer, Alaska with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1114000130 assigned on October 2006. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1114000130
- Provider Name
- JEDIDIAH E. JOHNSON HS1, IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4688 HOMER SPIT RD HOMER, AK 99603
- Location Phone
- (360) 567-8238
- Mailing Address
- 4688 HOMER SPIT RD USCGC HICKORY HOMER, AK 99603
- Mailing Phone
- (360) 567-8238
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-23-2006
- Last Update Date
- 10-08-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider Independent Duty Corpsman
- Taxonomy Code
- 1710I1002X
- Type
- Other Service Providers
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 247200000X | Technologists, Technicians & Other Technical Service Providers | Technician, Other |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 0 | 0 | 0 | 1 | 3 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 0 | 0 | 0 | 1 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 0 + 0 + 0 + 1 + 6 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1114000130 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669437711 | BRIAN MAKSIN HS Individual | Technician, Other | 4688 HOMER SPIT RD MEDICAL HOMER, AK 99603 (907) 235-5233 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114000130, enumerated in the NPI registry as an "individual" on October 23, 2006
The provider is located at 4688 Homer Spit Rd Homer, Ak 99603 and the phone number is (360) 567-8238
The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman
This NPI record was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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