MR. LARRY CHARLES GATRELL JR. (NPI# 1780815472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780815472 |
| Entity Type | Individual |
| Full Name | MR. LARRY CHARLES GATRELL JR. |
| Credential | SUB IDC |
| Practice Address |
Uss City of Corpus Christi # 705 Fpo AP 96662-2385 |
| Practice Telephone | 6717779343 |
| Mailing Telephone | 6717779343 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2009-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
CT | Other Service Providers |
| Street Address |
USS CITY OF CORPUS CHRISTI # 705 |
| City | FPO |
| State | AP |
| Zip Code | 96662-2385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295063907 | Michael Garrett Subee | Military Health Care Provider | Uss Chung-hoon (ddg 93), Unit 100203 Box 442, Fpo, AP 96662 | 2009-11-19 |
| 1912196411 | Michael Haydn Deaner | Military Health Care Provider | Uss Cowpens, Fpo, AP 96662 | 2007-10-20 |
| 1942839907 | Marcus Dupree Sanders | Military Health Care Provider | Uss Chafee, Unit Number 100199, Fpo, AP 96662 | 2020-04-02 |
| 1407151160 | Jason Crume | Military Health Care Provider | Uss Chancellorsville, Fpo, AP 96662-1182 | 2011-01-11 |
| 1750681854 | Leslie Ansag | Military Health Care Provider | Uss Chafee, Medical Department, Fpo, AP 96662-1305 | 2010-10-25 |
| 1225123557 | Robert Lee Boyd Jr. | Military Health Care Provider | Uss Chafee (ddg 90), Fpo, AP 96662-1305 | 2006-10-03 |
| 1063728582 | Daniel Charles Troy IIi | Military Health Care Provider | Uss Curts Ffg 38, Medical Department, Fpo, AP 96662-1493 | 2010-08-21 |
| 1538396064 | Colleen Tamara Hiebenthal | General Practice | Uss Comstock, Lsd 45, Fpo, AP 96662-1733 | 2009-06-11 |
| 1477769917 | Randy Ferrer Swanson | Military Health Care Provider | Uss Charlotte (ssn 766), Fpo, AP 96662-2422 | 2007-05-14 |
| 1063861763 | Andrew Joseph Holeman | Military Health Care Provider | Uss Cheyenne (ssn 773), Fpo, AP 96662-2429 | 2016-06-03 |
| Find all providers in zip 96662 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
| 1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
| 1396370623 | Daniel Rocha Moy | Military Health Care Provider | Uss Thunderbolt (pc-12), Fpo, AE 09588 | 2020-03-06 |
| 1639701634 | Stephen Henderson | Military Health Care Provider | 3d Recon Bn, Force Co., Unit 36180, Fpo, AP 96389-6180 | 2020-02-07 |
| 1649810219 | Maxwell Onyedikachi Osisioma | Military Health Care Provider | Psd-18, Macg-18, 1st Maw Unit 37172, Fpo, AP 96372 | 2020-01-13 |
| 1508406273 | Daniel Levin | Military Health Care Provider | 3d Recon Bn Aid Station, Fpo, AP 96389-6189 | 2020-01-10 |
| 1053955609 | Christopher Zartman | Military Health Care Provider | Camp Foster, Okinawa Japan, Fpo, AP 96379-0005 | 2019-11-06 |
| 1912553975 | Brandon Joseph Dapper | Military Health Care Provider | Camp Lejeune, Nc, 2d Reconnaissance Battalion Battalion Aid Station, Fpo, AA 28542-0138 | 2019-08-15 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| Find all providers in FPO | ||||
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| 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.