Robert Dean Ficke
Military Health Care Provider (Independent Duty Corpsman)

Address: 1281 9th Ave Unit 1714, San Diego, CA 92101-4661
Phone: 2074755303

Robert Dean Ficke (NPI# 1114546892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1114546892
Entity Type Individual
Full Name Robert Dean Ficke
Credential IDC
Gender Male
Practice Address 1281 9th Ave Unit 1714
San Diego
CA 92101-4661
Practice Telephone 2074755303
Mailing Address 1281 9th Ave Unit 1714
San Diego
CA 92101-4661
Mailing Telephone 2074755303
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2020-04-13
Last Update Date 2020-04-13

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1710I1002X Military Health Care Provider · Independent Duty Corpsman Other Service Providers

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy 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.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

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1275168007 Hector Santillan Jr. Military Health Care Provider 2450 Craven St Naval Station San Diego, San Diego, CA 92136-0001 2020-03-12
1245873900 Travis Allen Mosley Military Health Care Provider 43101 Farenholt Ave, San Diego, CA 92134-0001 2019-10-24
1508417510 Matthew Hart Military Health Care Provider 3400 Bob Wilson Drive, San Diego, CA 92134-0001 2019-09-23
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Office Location

Street Address 1281 9TH AVE UNIT 1714
City SAN DIEGO
State CA
Zip Code 92101-4661

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699258459 Talya Donahue Peer Specialist 1045 Ninth Ave, San Diego, CA 92101 2018-09-07
1700380086 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 1850 5th Ave, San Diego, CA 92101 2018-03-21
1013436161 Yasmin Galicianava Student in an Organized Health Care Education/Training Program 734 Tenth Ave, San Diego, CA 92101 2017-09-10
1487172516 Jessica Roach Counselor 1045 9th Avenue, San Diego, CA 92101 2017-09-09
1699204099 Lisa Nunez Student in an Organized Health Care Education/Training Program 1963 4th Avenue, San Diego, CA 92101 2017-06-08
1356882245 Dajah Mone't Lockett Counselor 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 2017-03-13
1649718495 Luigi Bunyi Behavior Technician 501 W Broadway Suite 800, San Diego, CA 92101 2017-02-01
1568908655 Delta Home Health Care Services LLC Home Health 2534 State St #440, San Diego, CA 92101 2017-01-12
1033651575 April Garner Segal Pharmacist 320 W Cedar St Ste 103, San Diego, CA 92101 2016-11-15
1013463363 Waheeda Waheed Developmental Therapist 501 W Broadway, Suit 800, San Diego, CA 92101 2016-08-28
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Competitor

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City SAN DIEGO
Zip Code 92101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.