Active NPI
Edgar Omar Rodriguez, RDH
- Military Health Care Provider
- Norfolk, VA
National Provider Identifier
1093913402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 7920
- Practice address
- Uss Bataan LHD-5
Fpo Ae
Norfolk, VA 09554-1657 - Phone
- (757) 445-6344
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 7920 | NC | Primary |
Addresses
Primary practice location
Uss Bataan LHD-5
Fpo Ae
Norfolk, VA 09554-1657
Mailing address
20290 Apricot LN
Caldwell, ID 83607-9480
Phone (208) 602-7014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093913402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20290 APRICOT LN",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836079480",
"telephone_number": "208-602-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USS BATAAN LHD-5",
"address_2": "FPO AE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "095541657",
"telephone_number": "757-445-6344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "EDGAR",
"middle_name": "OMAR",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NC",
"license": "7920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.