MR. MATTHEW WILLIAM CLARK IDC
NPI 1245284629
Military Health Care Provider - Independent Duty Corpsman in Fpo, AA

Q: What is Matthew Clark's NPI number?

The NPI number for Matthew Clark is 1245284629. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Q: What is Matthew Clark'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 Matthew Clark was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 May 20, 2006

USS PHILIPPINE SEA, FPO, AA 34092(904) 270-6502 Get Directions Write a Review

NPPES record last updated: May 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Matthew William Clark Idc NPPES

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

MR. MATTHEW WILLIAM CLARK IDC (NPI 1245284629) is an individual independent duty corpsman provider in Fpo, AA and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1245284629

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MATTHEW WILLIAM CLARKCredential: IDC

Location AddressUSS PHILIPPINE SEAFpo, AA 34092-1178

Mailing Address453 Cody DrOrange Park, FL 32073-4214 · (904) 270-5936

Phone(904) 270-6502

Sole ProprietorYes

Enumeration DateMay 20, 2006

Last NPPES UpdateMay 12, 2010

✔ NPI 1245284629 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.

USS PHILIPPINE SEA, Fpo, AA 34092

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Other Providers at the Same Location NPPES

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

CHRISTOPHER BERNARD BARBER IDC

Military Health Care Provider (Independent Duty Corpsman)

USS PHILIPPINE SEA
FPO, AA 34092

(902) 270-6515

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 Clark's NPI number?

The NPI number for Matthew Clark is 1245284629. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Matthew Clark located?

Matthew Clark practices at Uss Philippine Sea, Fpo, AA 34092. The listed phone number is (904) 270-6502.

What is Matthew Clark'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 Clark was last updated on May 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.