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JESSE JAMES ANTHONY SOIDC
NPI 1205501384
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC

Active since August 11, 2021
1ST MAR RDR BN MRR MARFORSOC, BLDG 132, CAMP LEJEUNE, NC 28542(910) 440-2497 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jesse James Anthony Soidc NPPES

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

JESSE JAMES ANTHONY SOIDC (NPI 1205501384) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1205501384
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJESSE JAMES ANTHONYCredential: SOIDC
Location Address1ST MAR RDR BN MRR MARFORSOC, BLDG 132Camp Lejeune, NC 28542
Mailing Address1st Mar Rdr Bn Mrr Marforsoc, Pcs Box 20184Camp Lejeune, NC 28542
Phone(910) 440-2497
Sole ProprietorNo
Enumeration DateAugust 11, 2021
NPPES CertifiedJuly 16, 2021
✔ NPI 1205501384 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.
1ST MAR RDR BN MRR MARFORSOC, Camp Lejeune, NC 28542
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Other Identifiers 1

Other03179878JASocom-atp

Other Providers at the Same Location NPPES 5

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

THOMAS JONATHAN CARROLL
Military Health Care Provider (Independent Duty Corpsman)
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-2497
MICAH SCHRIMPF SOIDC
Military Health Care Provider (Independent Duty Corpsman)
1ST MAR RDR BN MRR MARFORSOC, CHARLIE CO
CAMP LEJEUNE, NC 28542
Onslow County (760) 815-6435
NICOLAS ALLEN OERTLING SOIDC
Military Health Care Provider (Independent Duty Corpsman)
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-3944
CHARLES MICHAEL CALEY SOIDC
Military Health Care Provider (Independent Duty Corpsman)
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-3944
TRAVIS ALAN COOK
Military Health Care Provider
1ST MAR RDR BN MRR MARFORSOC
CAMP LEJEUNE, NC 28542
Onslow County (910) 440-3136

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 Jesse Anthony's NPI number?

The NPI number for Jesse Anthony is 1205501384. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Jesse Anthony located?

Jesse Anthony practices at 1st Mar Rdr Bn Mrr Marforsoc Bldg 132, Camp Lejeune, NC 28542. The listed phone number is (910) 440-2497.

What is Jesse Anthony'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 Jesse Anthony was last updated on August 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.