Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 21

Copy url

Military Health Care Provider Providers

NPI Name Type Address

1467488676

MR. M.D. Samuel N Caoile

Individual

2080 Child St

Jacksonville, FL

1821144171

Frank Pearson

Individual

2080 Child St

Jacksonville, FL

1477940138

Lisa Daily

Individual

2080 Child St

Jacksonville, FL

1134576390

IDC Nathan Jamal Pena

Individual

1320 Bailey Ave

Jacksonville, FL

1043854771

DR. DDS Trey Jeremy Coke

Individual

Navy Medicine Support Command Attn: Medical Staff Svcs

Bldg H 2005 Knight Lane

Jacksonville, FL

1548808546

MR. Patrick S. Merriman

Individual

Navy Medicine Support Command Att: Medical Staff Svcs

Bldg H 2005 Knight Lane

Jacksonville, FL

1669963823

DR. MD Eric Raymond Krivensky

Individual

2080 Child St

Jacksonville, FL

1578703419

DR. MD Reynaldo Gomez III

Individual

2005 Knight Lane Bldg. H

Navy Medicine Support Cmd, Attn: Medical Staff Services

Jacksonville, FL

1811517212

DR. DO Joseph Nario Lipat

Individual

2080 Child St

Jacksonville, FL

1891287280

DR. D.O. Alex Spencer Breslau

Individual

2080 Child St

Jacksonville, FL

1477051365

DR. DO David Augustus Bryant

Individual

964 Ajax St

Jacksonville, FL

1750956702

DR. DO Chelsey Haley

Individual

2080 Child St

Jacksonville, FL

1144727470

MD Michael John Rice

Individual

Building 964

Naval Air Station Jacksonville

Jacksonville, FL

1891315925

DR. MD John Metz

Individual

964 Ajax Street

Jacksonville, FL

1912640012

DO Taylor Clemmons Plumb

Individual

2080 Child St

Jacksonville, FL

1063156974

DR. DO Alexander Nam

Individual

2080 Child St

Jacksonville, FL

1760126676

MD Samantha Erika Keefer

Individual

2080 Child St Dept 5000

Jacksonville, FL

1265753131

M.D. Di Khoo

Individual

Bldg H 2005 Knight Lane

Attn: Medical Staff Services. Navy Medicine Support Com

Jacksonville, FL

1619616968

DO Christopher John Soha

Individual

280 Child St Dept 5000

Jacksonville, FL

1356080618

DO Derriyan Lanae Price

Individual

2080 Child St Dept 5000

Jacksonville, FL

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

Copy url
Taxonomy Code 171000000X
Display Name Military Health Care Provider
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Effective Date September 30, 2009
Copy url

Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299