CHRISTOPHER LEE DRENNON


Address: Mcsfco Bangor, Silverdlae, WA 98315
Phone: 3602040388

CHRISTOPHER LEE DRENNON (NPI# 1871705673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871705673
Entity Type Individual
Full Name CHRISTOPHER LEE DRENNON
Credential SUBMARINE IDC
Practice Address Mcsfco Bangor
Silverdlae
WA 98315
Mailing Address 4180 Greenfish Dr Apt A
Silverdale
WA 98315-9479
Practice Telephone 3602040388
Mailing Telephone 3602040388
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1002X Military Health Care Provider
Specialization: Independent Duty Corpsman
1710L1002X WA Other Service Providers

Office Location

Street Address MCSFCO BANGOR
City SILVERDLAE
State WA
Zip Code 98315

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700044500 Tina Louise Toles Military Health Care Provider Marine Corps Security Forces Battalion, Fpo, AP 98315 2008-05-28
1235340738 Edward Cliff Littler Military Health Care Provider Uss Henry M Jackson (ssbn 730)(blue), Fpo Ap, Bangor, WA 98315 2007-05-25
1043317803 Naval Hospital Bremerton Military/U.S. Coast Guard Pharmacy 2050 Barb St Ste A, Silverdale, WA 98315 2006-09-20
1538191283 Matthew H Mcclernan Military Health Care Provider Uss Kentucky Ssbn 737 Gold, 2100 Thresher Ave, Silverdale, WA 98315 2006-07-06
1851772891 Robert Blackmon Military Health Care Provider 2050 Barb St, Silverdale, WA 98315 2015-06-16
1962723668 Christopher Deon Davis Military Health Care Provider 2100 Thresher Ave, Uss Henry M Jackson Ssbn 730(g), Silverdale, WA 98315 2010-06-16
1366773038 Mario M Faria Military Health Care Provider 2100 Thresher Ave, Uss Pennsylvania Ssbn 735, Silverdale, WA 98315 2010-01-20
1912196221 Randall Evan Moss Physician Assistant 2050 Barb St, Silverdale, WA 98315 2007-10-23
1932302262 Branch Medical Clinic Bangor Clinic/Center 2050 Barb St, Silverdale, WA 98315 2007-06-06
1386689560 Richard E Bolton Military Health Care Provider 2100 Thresher Ave, Uss Nevada, Silverdale, WA 98315 2006-06-19
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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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669022810 Shannon Dawkins Military Health Care Provider 2150 Thresher Ave, Silverdale, WA 98315-2103 2019-09-18
1669033098 Crystal Belle Phipps Bloomfeldt Military Health Care Provider 214 Autumn Hills Rd, Kelso, WA 98626-9018 2019-06-26
1649830779 Monica Yineman Military Health Care Provider 9812 Enchantment Ave Nw, Silverdale, WA 98383-8822 2019-06-20
1164992491 Michael Thomas Stevens Military Health Care Provider 100 Hospital Loop, Fairchild Afb, WA 99011 2018-11-29
1326521097 Elizabeth Nicole Sifuentes Military Health Care Provider Uss Michigan- Commander Sub Group Nine, 2150 Thresher Ave, Silverdale, WA 98315-2150 2018-09-10
1740710557 Randle Scott Groves Military Health Care Provider Psns&imf Det Everett, 2000 West Marine Drive, Bldg 2202, Everett, WA 98207 2017-06-14
1235599234 Corey Thacker Military Health Care Provider 1912 Nw Circle Dr N, Poulsbo, WA 98370-9527 2016-03-03
1679965222 Asher Abbott White Jr. Military Health Care Provider 8806 86th Ave Nw, Gig Harbor, WA 98332-6752 2015-02-19
1023414927 Larry Jones Military Health Care Provider 386 Nw Dory Dr, Oak Harbor, WA 98277-2077 2014-11-05
1598027237 Epafara Jeffrey Vaitautolu Military Health Care Provider 30 Wencker Way Apt A, Bremerton, WA 98312-1861 2012-06-08
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Competitor

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City SILVERDLAE
Zip Code 98315

Improve Information

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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.

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