MRS. MARY ISSITT IDMT
NPI 1467686543
Military Health Care Provider - Independent Duty Medical Technicians in Travis Afb, CA

NPI Status: Active since May 05, 2009

Contact Information

DAVID GRANT MEDICAL CENTER
101 BODIN CIRCLE
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 816-5950

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  • Individual
  • Female
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About MARY ISSITT

This page provides the complete NPI Profile along with additional information for Mary Issitt, a provider established in Travis Afb, California with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1467686543 assigned on May 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1467686543
Provider Name
MRS. MARY ISSITT IDMT
Other Name
MARY CRUZ
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
DAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE TRAVIS AFB, CA 94535
Location Phone
(707) 816-5950
Mailing Address
5344 ANTHONY CT FAIRFIELD, CA 94533
Mailing Phone
(501) 615-5633
Is Sole Proprietor?
No
Enumeration Date
05-05-2009
Last Update Date
04-03-2020
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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 Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.

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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.
1467686543
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271281258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 2 + 8 + 1 + 2 + 5 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1467686543 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760465769DR. MICHAEL LOUIS CHYREK O.D.
Individual
OptometristDAVID GRANT MEDICAL CENTER 101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5439
1295784627MS. JUDITH A. GOULD R.D.
Individual
Dietitian, Registered (Nutrition, Renal)DAVID GRANT MEDICAL CENTER
TRAVIS AFB, CA 94535
(707) 423-7300
1336683747 DAVID J KRASUCKI CRNA
Individual
Nurse Anesthetist, Certified RegisteredDAVID GRANT MEDICAL CENTER 101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-5370
1619041316DR. SUK CHARLES WHANG M.D.
Individual
Internal Medicine (Gastroenterology)DAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
(707) 423-3040
1851372130DR. CHRISTOPHER WILLIAM WALKER M.D.
Individual
Family MedicineDAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE
TRAVIS AIR FORCE BASE, CA 94535
(707) 423-3735
1588961163 JASON D HOSKINS MD
Individual
Radiology (Vascular & Interventional Radiology)DAVID GRANT MEDICAL CENTER 101 BODIN CIR
TRAVIS AFB, CA 94535
(707) 423-7233
1962694042DR. KENDALL J. VERMILION M.D.
Individual
Military Health Care ProviderDAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
(707) 423-5433
1699781153 BILL STEH PHD
Individual
PsychologistDAVID GRANT MEDICAL CENTER 101 BODIN CIRCLE, 4-EAST UNIT
TRAVIS AFB, CA 94535
(707) 423-3275

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467686543, enumerated in the NPI registry as an "individual" on May 05, 2009

The provider is located at David Grant Medical Center 101 Bodin Circle Travis Afb, Ca 94535 and the phone number is (707) 816-5950

The provider's speciality is Military Health Care Provider with taxonomy code 1710I1003X with a focus in Independent Duty Medical Technicians

This NPI record was last updated on May 05, 2009. 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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