CAMERON MODISETTE
NPI 1639300312
Military Health Care Provider - Independent Duty Medical Technicians in Hickam Afb, HI

NPI Status: Active since July 29, 2009

Contact Information

755 SCOTT CIR
HICKAM AFB, HI
ZIP 96853
Phone: (808) 448-6203
Fax: (808) 448-6226

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

About CAMERON MODISETTE

This page provides the complete NPI Profile along with additional information for Cameron Modisette, a provider established in Hickam Afb, Hawaii 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 1639300312 assigned on July 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1639300312
Provider Name
CAMERON MODISETTE
Gender
Male
Entity Type
Individual
Location Address
755 SCOTT CIR HICKAM AFB, HI 96853
Location Phone
(808) 448-6203
Location Fax
(808) 448-6226
Mailing Address
755 SCOTT CIR HICKAM AFB, HI 96853
Is Sole Proprietor?
No
Enumeration Date
07-29-2009
Last Update Date
07-29-2009
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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.
1639300312
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266960032
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 0 + 0 + 3 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1639300312 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164407276DR. MELISSA SUE KRUSE DDS
Individual
Dentist (General Practice)755 SCOTT CIR
HICKAM AFB, HI 96853
(808) 448-6371
1649379322HICKAM PHCY
Organization
Military/U.S. Coast Guard Pharmacy755 SCOTT CIR
HICKAM AFB, HI 96853
(808) 448-6242
1073656856DR. WOODY CHARLES BAKER DDS
Individual
Dentist (General Practice)755 SCOTT CIR 15 MDG SGD
HICKAM AFB, HI 96853
(808) 448-6246
1063692234 ANTHONY MARK HALL CADAC
Individual
Counselor (Addiction (Substance Use Disorder))755 SCOTT CIR BLDG 559
HICKAM AFB, HI 96853
(808) 449-0175
1952582009HICKAM AFB 15TH MDG
Organization
Clinic/Center (Primary Care)755 SCOTT CIR 15TH MED GROUP
HICKAM AFB, HI 96853
(808) 448-6133
1669623690MR. KENNETH RAYMOND BELLISLE R.PH
Individual
Pharmacist755 SCOTT CIR 15TH MEDICAL GROUP
HICKAM AFB, HI 96853
(808) 448-6261
1558692483MRS. ALICIA RENEE EINLOTH LPN
Individual
Licensed Practical Nurse755 SCOTT CIR JBPHH
J B P H H, HI 96853
(808) 448-6263
1922061936 JILL A CLARK RDH
Individual
Dental Hygienist755 SCOTT CIR BLDG 559
HICKAM AFB, HI 96853
(808) 448-6371
1740423151 DOUGLAS BROOK IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)755 SCOTT CIR
JBPHH, HI 96853
(850) 420-3191
1740697424 NICHOLE FERNANDES DENTAL HYGIENIST
Individual
Dental Hygienist755 SCOTT CIR
JBPHH, HI 96853
(808) 448-6371
1922492537 TINA HAIRSTON
Individual
Dental Hygienist755 SCOTT CIR
HICKAM AFB, HI 96853
(808) 448-6246
1225415235 SONIA EVOY
Individual
Registered Nurse755 SCOTT CIR 15TH MEDICAL GROUP
HICKAM AFB, HI 96853
(808) 448-6380
1992784482DR. STUART PATRICK THOMPSON D.D.S.
Individual
Dentist (General Practice)755 SCOTT CIR
HICKAM AFB, HI 96853
(808) 448-6726
1629482062TRIPLER ARMY MEDICAL CENTER
Organization
Military/U.S. Coast Guard Pharmacy755 SCOTT CIR
HICKAM AFB, HI 96853
(808) 448-6261
1851711519 JARED TANIGUCHI PHARMD
Individual
Pharmacist755 SCOTT CIR
JBPHH, HI 96853
(808) 448-6261
1770794554DR. KASI MEREDITH CHU M.D.
Individual
Pediatrics (Adolescent Medicine)755 SCOTT CIR
JBPHH, HI 96853
(808) 448-6234
1245557438MS. ELAINE MAE DAVIS M.S., R.D., L.D.
Individual
Dietitian, Registered755 SCOTT CIR
JBPHH, HI 96853
(512) 299-1048
1477013217 NATHAN ROBERT BECKER
Individual
Military Health Care Provider (Independent Duty Medical Technicians)755 SCOTT CIR
JBPHH, HI 96853
(952) 220-7196
1114490497 MARIA TOINTON RDN, CSR, CLT
Individual
Dietitian, Registered755 SCOTT CIR
JBPHH, HI 96853
(808) 448-6194
1265924047 MATTHEW ZACHARIA JONES PA
Individual
Physician Assistant755 SCOTT CIR
JBPHH, HI 96853
(808) 448-6197

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639300312, enumerated in the NPI registry as an "individual" on July 29, 2009

The provider is located at 755 Scott Cir Hickam Afb, Hi 96853 and the phone number is (808) 448-6203

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 July 29, 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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