MR. MATTHEW CODY MCNEELY IDC
NPI 1104105568
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 16, 2011
96 MICHIGAN DRIVE, GROTON, CT 06340(870) 725-4115 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Matthew Cody Mcneely Idc NPPES

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

MR. MATTHEW CODY MCNEELY IDC (NPI 1104105568) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1104105568
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MATTHEW CODY MCNEELYCredential: IDC
Location Address96 MICHIGAN DRIVEGroton, CT 06340
Mailing Address96 Michigan DriveGroton, CT 06340 · (870) 725-4115
Sole ProprietorYes
Enumeration DateAugust 16, 2011
NPI 1104105568 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.
96 MICHIGAN DRIVE, Groton, CT 06340

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 Mcneely's NPI number?

The NPI number for Matthew Mcneely is 1104105568. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Matthew Mcneely located?

Matthew Mcneely practices at 96 Michigan Drive, Groton, CT 06340. The listed phone number is (870) 725-4115.

What is Matthew Mcneely'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 Mcneely was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.