ELLIS ALAN EID IDC
NPI 1104544089
Military Health Care Provider - Independent Duty Corpsman in Fpo, AE

Q: What is Ellis Eid's NPI number?

The NPI number for Ellis Eid is 1104544089. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Q: What is Ellis Eid'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 Ellis Eid was last updated on February 14, 2023. 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.

Active since August 17, 2022

USS GEORGE WASHINGTON, CVN 73, FPO, AE 09550(757) 534-3448 Get Directions Write a Review

NPPES record last updated: February 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 14, 2023, Aug 17, 2022 (2 updates tracked since 2022).

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About Ellis Alan Eid Idc NPPES

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

ELLIS ALAN EID IDC (NPI 1104544089) is an individual independent duty corpsman provider in Fpo, AE and active in the NPI registry since August 2022. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1104544089

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameELLIS ALAN EIDCredential: IDC

Location AddressUSS GEORGE WASHINGTON, CVN 73Fpo, AE 09550-2873

Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · (619) 532-7968

Phone(757) 534-3448

Sole ProprietorYes

Enumeration DateAugust 17, 2022

Last NPPES UpdateFebruary 14, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2023

✔ NPI 1104544089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

USS GEORGE WASHINGTON, Fpo, AE 09550

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Secondary Practice Location 1

Location 134101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · Phone (619) 532-7968

Other Identifiers 1

Other1122592096Dodid

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 Ellis Eid's NPI number?

The NPI number for Ellis Eid is 1104544089. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Ellis Eid located?

Ellis Eid practices at Uss George Washington Cvn 73, Fpo, AE 09550. The listed phone number is (757) 534-3448.

What is Ellis Eid'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 Ellis Eid was last updated on February 14, 2023. 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.