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MR. KOMI VENUNYE GAYAKPA IDC
NPI 1013526995
Military Health Care Provider - Independent Duty Corpsman in Jb Andrews, MD

Active since July 27, 2020
1060 W PERIMETER RD, JB ANDREWS, MD 20762(651) 354-8825 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Jul 27, 2020 (2 updates tracked since 2020).

About Mr. Komi Venunye Gayakpa Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KOMI VENUNYE GAYAKPA IDC (NPI 1013526995) is an individual independent duty corpsman provider in Jb Andrews, Maryland and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1013526995
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. KOMI VENUNYE GAYAKPACredential: IDC
Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098
Phone(651) 354-8825
Sole ProprietorYes
Enumeration DateJuly 27, 2020
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1013526995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
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.
1060 W PERIMETER RD, Jb Andrews, MD 20762
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Other Identifiers 2

OtherIDCIndependent Duty Corpsman
Other6513548825Independent Duty Corpsman

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA BIANCA PAYNE M.D.
Family Medicine
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (907) 377-6722
MS. PATRICIA BANASZEK HAZARD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
AMANDA MARIE HAWKINS MD
Obstetrics & Gynecology
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
DR. JULIE ANN BANTA PT, DPT, FAAOMPT
Physical Therapist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2464
DR. SUBODH ARORA MD
Pediatrics
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (301) 404-9046
MR. JEREMY TROY POWELL PA-C
Physician Assistant
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1143
CASSANDRA VERHOFF MS, RD, LDN
Dietitian, Registered
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2678
TIMOTHY MICHAEL MCSHEEHY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Komi Gayakpa's NPI number?

The NPI number for Komi Gayakpa is 1013526995. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Komi Gayakpa located?

Komi Gayakpa practices at 1060 W Perimeter Rd, Jb Andrews, MD 20762. The listed phone number is (651) 354-8825.

What is Komi Gayakpa's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Komi Gayakpa was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.