WESTLEY MICHAEL DURNELL


Address: 580 Uss Mariano G. Vallejo Ave, Nssc Medical, Kings Bay, GA 31547
Phone: 9125732939

WESTLEY MICHAEL DURNELL (NPI# 1568651321) 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) 1568651321
Entity Type Individual
Full Name WESTLEY MICHAEL DURNELL
Credential MDR
Practice Address 580 Uss Mariano G. Vallejo Ave
Nssc Medical
Kings Bay
GA 31547
Mailing Address 241 Woodbridge Rd
Kingsland
GA 31548-3380
Practice Telephone 9125732939
Practice Fax Number 9125734534
Mailing Telephone 9125732939
Mailing Fax Number 9125734534
Enumeration Date 2007-10-17
Last Update Date 2007-10-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 580 USS MARIANO G. VALLEJO AVE
NSSC MEDICAL
City KINGS BAY
State GA
Zip Code 31547

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922316785 D'metric Maudell Moss Nurse's Aide 881 Uss James Madison Raod, Naval Submarine Base, Kings Bay, GA 31547 2010-09-15
1023291788 Jay D Carson Military Health Care Provider 1050 Uss Gerogia Ave, Kings Bay, GA 31547 2007-12-17
1013127497 Cory Dean Sant Military Health Care Provider Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 2007-05-23
1982760492 Rufus Benjamin Phillips Pharmacist Kingsbay Naval Base, Pharmacy, Kingsbay, GA 31547 2006-12-29
1083626949 Michael Dennis Lappi Preventive Medicine Naval Branch Health Clinic Kings Bay, Kings Bay, GA 31547 2006-08-12
1578592838 Eric Windsor Larson Sr. Military Health Care Provider 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 2006-06-30
1104894294 Cary Grinold Nurse Practitioner 881 Uss James Madison Road, Naval Ambulatory Care Center, Kings Bay, GA 31547 2006-03-14
1144429507 Tony Wayne Lyle Military Health Care Provider 1061 Uss Tennessee Ave, Kings Bay, GA 31547 2007-07-16
1801853874 Barry Wayne Downing Military Health Care Provider 881 Uss James Madison Rd, Kings Bay, GA 31547 2006-04-26
1659361343 Merlene Vanessa Horan Family Medicine 881 Uss James Madison Rd, King's Bay, GA 31547 2005-10-25
Find all providers in zip 31547

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 city

NPI Name Taxonomy Address Enumeration
1275717092 Michael Arnez Leggett Military Health Care Provider 1063 Uss Georgia Ave, Commander Submarine Group Ten, Kings Bay, GA 31558-2626 2007-12-28
1023291788 Jay D Carson Military Health Care Provider 1050 Uss Gerogia Ave, Kings Bay, GA 31547 2007-12-17
1013127497 Cory Dean Sant Military Health Care Provider Uss Rhode Island Ssbn 740 (blue), 1059 Uss Georgia Ave, Kings Bay, GA 31547 2007-05-23
1578592838 Eric Windsor Larson Sr. Military Health Care Provider 580 Uss Mariano G Vallejo Ave, Nssc Medical Kings Bay, Kings Bay, GA 31547 2006-06-30
1356303655 Julio Esquilin Military Health Care Provider 580 Uss Mariano G. Vallejo Avenue, Kings Bay, GA 31547-2626 2006-04-04
1033188925 William S Legge Military Health Care Provider 1061 Uss Tennessee Ave, Kings Bay, GA 31547-2601 2006-03-14
1588187314 Andrew Thomas Wemlinger Military Health Care Provider 1061 Uss Tennessee Ave, Kings Bay, GA 31547-2601 2017-07-24
1942486139 Roy Edmond Holder Military Health Care Provider 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 2008-01-17
1952587222 Dmaurier Barnhart Military Health Care Provider 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 2008-01-16
1659554400 Sean Thomas Sengiawasa Meadors Military Health Care Provider 881 Uss James Madison Rd, Kings Bay, GA 31547-2531 2007-12-14
Find all providers in KINGS BAY

Competitor

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City KINGS BAY
Zip Code 31547

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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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