KEITH ROBERT DAVIS IDC
NPI 1689873192
Military Health Care Provider - Independent Duty Medical Technicians in San Diego, CA
NPI Status: Active since July 13, 2007
Contact Information
140 SYLVESTER RD
USS TOPEKA (SSN 754) FPO AP 96679-2410
SAN DIEGO, CA
ZIP 92106
Phone: (619) 553-0123
Fax: (619) 553-0744
- Individual
- Male
- Military Health Care Provider
- Independent Duty Medical Technicians
About KEITH DAVIS
This page provides the complete NPI Profile along with additional information for Keith Davis, a provider established in San Diego, 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 1689873192 assigned on July 2007. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1689873192
- Provider Name
- KEITH ROBERT DAVIS IDC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410 SAN DIEGO, CA 92106
- Location Phone
- (619) 553-0123
- Location Fax
- (619) 553-0744
- Mailing Address
- 140 SYLVESTER RD USS TOPEKA (SSN 754) FPO AP 96679-2410 SAN DIEGO, CA 92106
- Mailing Phone
- (619) 553-0123
- Mailing Fax
- (619) 553-0744
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-13-2007
- Last Update Date
- 07-13-2007
- 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 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. | |||||||||
| 1 | 6 | 8 | 9 | 8 | 7 | 3 | 1 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 16 | 7 | 6 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 6 + 7 + 6 + 1 + 1 + 8 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1689873192 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 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487641171 | DR. AMY LYNN BRYER DDS Individual | Dentist | 140 SYLVESTER RD DENTAL DEPT SAN DIEGO, CA 92106 (619) 556-9173 |
| 1255302188 | MR. JAMES ALEXANDER MANNIS LCSW Individual | Social Worker (Clinical) | 140 SYLVESTER RD SARP BLDG 500, RM 601 SAN DIEGO, CA 92106 (619) 553-0535 |
| 1023085883 | MR. ANTHONY PETRONE JR. MA Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-8719 |
| 1336116102 | SCOTT ROBERT HANTSCH Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-8719 |
| 1871560284 | MR. ALLEN JAMES LAHEIST IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-0838 |
| 1376751917 | MICHAEL CLARK Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-8719 |
| 1407006331 | JENNIFER LYNN MYERS Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-0838 |
| 1467785907 | MR. DAVID FISHER HM1 Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-0649 |
| 1467784314 | BERNARD SPRAGGINS IDC Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD BUILDING 5 SAN DIEGO, CA 92106 (619) 553-0838 |
| 1457640393 | MR. DARWIN THOMAS IDC Individual | Military Health Care Provider | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-5528 |
| 1831537638 | GINA STINES Individual | Social Worker (Clinical) | 140 SYLVESTER RD SARP BLDG. 500 SAN DIEGO, CA 92106 (619) 555-3064 |
| 1053628321 | DR. MARK MICHAEL HEYNE PH.D. Individual | Psychologist (Clinical) | 140 SYLVESTER RD BUILDING 500 SAN DIEGO, CA 92106 (619) 553-8555 |
| 1194903021 | BRANCH DENTAL CLINIC SUB BASE SAN DIEGO Organization | Clinic/Center (Dental) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 556-8200 |
| 1144860990 | JOSE LUIS PINA Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-2451 |
| 1417957440 | DR. JOHN J FRASER PT, DPT, PHD Individual | Physical Therapist (Orthopedic) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 553-8391 |
| 1831590850 | COLWYN OMANO WILTSHIRE HOSPITAL CORPSMAN Individual | Military Health Care Provider (Independent Duty Corpsman) | 140 SYLVESTER RD BLDG 139 SAN DIEGO, CA 92106 (757) 613-6755 |
| 1063050276 | JOCELYN V. SAZON MSN RN NI-BC TCRN Individual | Clinical Nurse Specialist (Informatics) | 140 SYLVESTER RD SAN DIEGO, CA 92106 (619) 767-4774 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689873192, enumerated in the NPI registry as an "individual" on July 13, 2007
The provider is located at 140 Sylvester Rd Uss Topeka (ssn 754) Fpo Ap 96679-2410 San Diego, Ca 92106 and the phone number is (619) 553-0123
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 13, 2007. 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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