Taxonomy Code 171000000X(171000000x)
Military Health Care Provider. Providers: 1,689

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Military Health Care Provider Providers

NPI Name Type Address

1902826662

MR. PT Brian Anthony Katen

Individual

301 Fisher St

Keesler Afb, MS

1316298144

IDC Sandra Diane Tyree

Individual

6490 Clyattstone Rd

Hahira, GA

1922359702

IDC Spencer Corey Southerland

Individual

Seal Team 2

Unit 60003

Fpo, AE

1881945566

DR. DPT Robert Ray Ellis

Individual

10194 Cottage Ct

Diberville, MS

1073866083

Chelsea Wrenn

Individual

2817 Reilly St

Womack Army Medical Center

Fort Bragg, NC

1780920165

NAVY DIVE IDC Christian Richard Flohr

Individual

1498 13th St

Bldg 193

Imperial Beach, CA

1285710202

DR. M.D. Brian David Kanter

Individual

150 Emerson Ave E

Allina West St. Paul

West St Paul, MN

1790023406

M.D., M.P.H. Donna Sue Muller

Individual

2715 Cosmos Dr Ne

Atlanta, GA

1972842680

IDC Leonardo D Mourao

Individual

618 Pusan Dr

Oceanside, CA

1841531761

LIEUTENANT Gary Kim

Individual

201 Glenwood Cir Apt 33b

Monterey, CA

1295704336

PT Michael Vincent Winters

Individual

9300 Dewitt Loop

Fort Belvoir Community Hospital

Fort Belvoir, VA

1013351253

CORPSMAN Lauren Michelle Spencer

Individual

Air Station Borinquen

260 Guard Road

Aguadilla, PR

1467609792

MR. MPT Whiteford Cornell Mcwaters III

Individual

7 Carnegie Plz

Cherry Hill, NJ

1063710515

MR. OCCUPATIONAL THERAPI Robert Edward Macdonnell

Individual

700 Fettler Park

Dumfries Health Center

Dumfries, VA

1063857167

SWIDC Joshua Dewayne Huff

Individual

33380 Gypsum St

Menifee, CA

1104261726

IDC Marie Louise Fagan

Individual

4077 32nd St

Apt 8

San Diego, CA

1235575325

DR. M.D. Gerardo Julian Soracco

Individual

4415 Northside Chase Nw

Atlanta, GA

1639518616

Treble Clef Technologies

Organization

3233 Tomahawk St

El Paso, TX

1609216688

ATC Dale Nitzel

Individual

H100 Santa Margarita Road

Naval Hospital Camp Pendelton Attention: Code 00qm

Camp Pendelton, CA

1285682401

P.T. Toby Jason Degenhardt

Individual

100 Brewster Blvd

100 Brewster Blvd

Camp Lejeune, NC

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...

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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
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Independent Duty Medical Technicians

1710I1003X • providers: 1,299