CORY NEWBY IDMT
NPI 1821450123
Military Health Care Provider - Independent Duty Medical Technicians in Moody Afb, GA

NPI Status: Active since March 25, 2016

Contact Information

3280 MITCHELL BLVD
MOODY AFB, GA
ZIP 31699
Phone: (210) 292-7400

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

About CORY NEWBY

This page provides the complete NPI Profile along with additional information for Cory Newby, a provider established in Moody Afb, Georgia 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 1821450123 assigned on March 2016. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1821450123
Provider Name
CORY NEWBY IDMT
Gender
Male
Entity Type
Individual
Location Address
3280 MITCHELL BLVD MOODY AFB, GA 31699
Location Phone
(210) 292-7400
Mailing Address
3280 MITCHELL BLVD MOODY MOODY AFB, GA 31699
Is Sole Proprietor?
No
Enumeration Date
03-25-2016
Last Update Date
10-11-2023
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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.
1821450123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284185014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 8 + 5 + 0 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1821450123 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689946071 JASON LANTZ WHITE IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)3280 MITCHELL BLVD
MOODY A F B, GA 31699
(229) 257-2105
1811980451DR. SALVATORE JOSEPH LUCIDO MD
Individual
Preventive Medicine (Aerospace Medicine)3280 MITCHELL BLVD 23 AMDS/FLIGHT MEDICINE CLINIC
MOODY AFB, GA 31699
(229) 257-2103
1750016986 TYLER AUSTIN MATTAS
Individual
Military Health Care Provider (Independent Duty Medical Technicians)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(520) 861-6058
1154963528MS. KRISTINA PAULINE GARDELLA MSW, LICSW
Individual
Social Worker (Clinical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1720331200MISS KATIE STAUFFER ATC
Individual
Specialist/Technologist (Athletic Trainer)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-9919
1962894485MRS. CHULETE AURIELLE WALLACE-KEANE LCSW
Individual
Social Worker (Clinical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1275948465 GEORGIA GEORGETTA OROPEZA LCSW
Individual
Social Worker (Clinical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 630-5113
1578125225DR. SCOTT LAWRENCE RUPP MD
Individual
Emergency Medicine3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-9581
1477088631 STEPHANIE EVANS LCSW
Individual
Social Worker (Clinical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1124710710MRS. JENNIFER PACCASSI PA-C
Individual
Physician Assistant (Medical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1235511395MRS. RACHEL SMITH ATC, LAT, M.ED.
Individual
Specialist/Technologist (Athletic Trainer)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1811570864DR. LAURA BARRERA MD
Individual
Emergency Medicine3280 MITCHELL BLVD
MOODY AFB, GA 31699
(224) 436-0398
1235521337DR. STEVEN FOGGER M.D.
Individual
Family Medicine3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1497196158 JESSICA LYNN OTTO ARNP
Individual
Nurse Practitioner (Family)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1124715172 ADAM JACOB ROBBINS DMD
Individual
Dentist (General Practice)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1316647100 YANISA ALEXANDRA STUART SALAS
Individual
Dentist (General Practice)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1649799123MRS. BETHANY BARBER MS, LAT, ATC
Individual
Specialist/Technologist (Athletic Trainer)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1881423069 KYRA LANAY MCMILLAN OD
Individual
Optometrist3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1174177844 CAPRI DELVAUX
Individual
Social Worker (Clinical)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778
1255802484MR. KILLIAN AER VILES IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)3280 MITCHELL BLVD
MOODY AFB, GA 31699
(229) 257-2778

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821450123, enumerated in the NPI registry as an "individual" on March 25, 2016

The provider is located at 3280 Mitchell Blvd Moody Afb, Ga 31699 and the phone number is (210) 292-7400

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 March 25, 2016. 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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