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JOHN DAVID CLELLAND III SUB IDC
NPI 1235561804
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since August 06, 2013

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John David Clelland Iii Sub Idc NPPES

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

JOHN DAVID CLELLAND III SUB IDC (NPI 1235561804) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1235561804
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJOHN DAVID CLELLAND IIICredential: SUB IDC
Location Address1 WAHOO AVEGroton, CT 06349-2324
Mailing Address168 Arrowood DrGroton, CT 06340-2509 · (330) 573-1202
Phone(330) 573-1202
Sole ProprietorYes
Enumeration DateAugust 6, 2013
✔ NPI 1235561804 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.
1 WAHOO AVE, Groton, CT 06349
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Other Providers at the Same Location NPPES 20

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

WILLIAM DON MURPHY III IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
SARAH ELISABETH HIRSCHKOWITZ
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4026
COREY ROBIN WILFON
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
MATTHEW DAVID COOPER APRN
Nurse Practitioner (Family)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
DR. MATTHEW BRADEN BURNS MILLER DDS
Dentist (Periodontics)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3094
KORIN MESSINA RN
Registered Nurse (Case Management)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2388
DR. JULIA JACOBS M.D.
Psychiatry & Neurology (Psychiatry)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4496
DR. JIMMY NAZIH SULIMAN DDS
Dentist (General Practice)
1 WAHOO AVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-3738

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 John Clelland's NPI number?

The NPI number for John Clelland is 1235561804. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Where is John Clelland located?

John Clelland practices at 1 Wahoo Ave, Groton, CT 06349. The listed phone number is (330) 573-1202.

What is John Clelland'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 John Clelland was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.