GORDON F MCMICHAEL III HM1, USN
NPI 1265202121
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since January 03, 2024
75 OSPREY DR, GROTON, CT 06340(814) 923-7721 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon F Mcmichael Iii Hm1, Usn NPPES

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

GORDON F MCMICHAEL III HM1, USN (NPI 1265202121) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1265202121
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameGORDON F MCMICHAEL IIICredential: HM1, USN
Location Address75 OSPREY DRGroton, CT 06340-3150
Mailing Address75 Osprey DrGroton, CT 06340-3150 · (814) 923-7721
Sole ProprietorNo
Enumeration DateJanuary 3, 2024
NPPES CertifiedJanuary 3, 2024
NPI 1265202121 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.
75 OSPREY DR, Groton, CT 06340

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 Gordon Mcmichael's NPI number?

The NPI number for Gordon Mcmichael is 1265202121. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Gordon Mcmichael located?

Gordon Mcmichael practices at 75 Osprey Dr, Groton, CT 06340. The listed phone number is (814) 923-7721.

What is Gordon Mcmichael'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 Gordon Mcmichael was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.