DEANNA MASON IDC
NPI 1164818316
Military Health Care Provider - Independent Duty Corpsman in Hamtramck, MI

Active since April 14, 2015
12075 SAINT AUBIN ST, HAMTRAMCK, MI 48212(313) 405-4204 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deanna Mason Idc NPPES

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

DEANNA MASON IDC (NPI 1164818316) is an individual independent duty corpsman provider in Hamtramck, Michigan and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1164818316
Entity TypeIndividualFemale
Primary Taxonomy1710I1002X
Provider Legal NameDEANNA MASONCredential: IDC
Location Address12075 SAINT AUBIN STHamtramck, MI 48212-2626
Mailing Address12075 Saint Aubin StHamtramck, MI 48212-2626
Sole ProprietorYes
Enumeration DateApril 14, 2015
NPI 1164818316 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.

12075 SAINT AUBIN ST, Hamtramck, MI 48212

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 Deanna Mason's NPI number?

The NPI number for Deanna Mason is 1164818316. It was assigned to this individual provider in the NPPES registry on April 14, 2015.

Where is Deanna Mason located?

Deanna Mason practices at 12075 Saint Aubin St, Hamtramck, MI 48212. The listed phone number is (313) 405-4204.

What is Deanna Mason'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 Deanna Mason was last updated on April 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.