MATTHEW JOHN WILSON
NPI 1063206944
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1063206944. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Q: What is Matthew Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Wilson was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

Active since April 07, 2025

103 CATALPA RD, GROTON, CT 06340(207) 406-1147 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Matthew John Wilson NPPES

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

MATTHEW JOHN WILSON (NPI 1063206944) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1063206944

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMATTHEW JOHN WILSON

Location Address103 CATALPA RDGroton, CT 06340-2512

Mailing Address103 Catalpa RdGroton, CT 06340-2512 · (207) 406-1147

Phone(207) 406-1147

Sole ProprietorYes

Enumeration DateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1063206944 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.

103 CATALPA RD, Groton, CT 06340

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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 Matthew Wilson's NPI number?

The NPI number for Matthew Wilson is 1063206944. It was assigned to this individual provider in the NPPES registry on April 7, 2025.

Where is Matthew Wilson located?

Matthew Wilson practices at 103 Catalpa Rd, Groton, CT 06340. The listed phone number is (207) 406-1147.

What is Matthew Wilson'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 Matthew Wilson was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.