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Benjamin Jacob Gomez, IDC
Independent Duty Corpsman in Pearl City, Hawaii
NPI 1801445663

Benjamin Jacob Gomez is a Independent Duty Corpsman based in Pearl City, HI and is specialized in Independent Duty Corpsman. Benjamin Jacob Gomez practices in Pearl City, HI and has the professional credentials of IDC. The NPI Number for Benjamin Jacob Gomez is 1801445663 and holds a License No. (Hawaii).

The current practice location address for Benjamin Jacob Gomez is 2001 Victor Wharf, Pearl City, HI and can be reached out via phone at 954-614-7005. You can also correspond with Benjamin Jacob Gomez through the mailing address at 2001 VICTOR WHARF, PEARL CITY, HI - 96782 (mailing address contact number: 954-614-7005).

Location: 2001 Victor Wharf, Pearl City, HI, 96782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801445663
Provider Name
Benjamin Jacob Gomez
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
2001 Victor Wharf, Pearl City, HI, 96782
Phone Number
954-614-7005
Fax Number
Provider Enumeration Date
09/05/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1384550807 01 IL DOD ID
institution
Provider Business Practice Location Address Details
Address
2001 Victor Wharf
City
Pearl City
State
Hawaii
Zip
96782
Phone Number
954-614-7005
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Victor Wharf
City
Pearl City
State
Hawaii
Zip
96782
Phone Number
954-614-7005
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Medical Technicians
Taxonomy
1710I1003X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Outpatient Operational (Transportable) Component
Taxonomy
261QM1102X
License No.
()
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient medical and dental services, primarily intended for DoD active duty. The entity is funded with other than Defense Health Program funding. Non-DoD active duty may receive services from this entity. "Non-fixed" facilities are generally deployed DoD health care activities, not providing services on or in association with a DoD fort or base. "Non-fixed" facilities include outpatient services furnished onboard ships. "Non-fixed" facilities also include deployed clinics. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Military Ambulatory Procedure Visits Operational (Transportable)
Taxonomy
261QM1103X
License No.
()
Definition
"Non-fixed" facilities or distinct parts of a "non-fixed" facility, providing outpatient surgical procedures requiring medically supervised recovery. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial "take home" pharmaceuticals.
person
Provider's Taxonomy Details 6
Type
Hospitals
Classification
Military Hospital
Speciality
-
Taxonomy
286500000X
License No.
()
Definition
A health care facility operated by the Department of Defense.
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