MR. MARIO DELANO PHILLIPS JR. IDC
NPI 1336582774
Military Health Care Provider - Independent Duty Corpsman in Chesapeake, VA

Q: What is Mario Phillips's NPI number?

The NPI number for Mario Phillips is 1336582774. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Q: What is Mario Phillips'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 Mario Phillips was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 16, 2013

745 EDEN WAY NORTH, CHESAPEAKE, VA 23320(757) 560-2457 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mr. Mario Delano Phillips Jr. Idc NPPES

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

MR. MARIO DELANO PHILLIPS JR. IDC (NPI 1336582774) is an individual independent duty corpsman provider in Chesapeake, Virginia and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1336582774

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. MARIO DELANO PHILLIPS JR.Credential: IDC

Location Address745 EDEN WAY NORTHChesapeake, VA 23320

Mailing AddressMarine Corps Security Forces, Mca 614 Port Au PrinceNorfolk, VA 23551-0001 · (757) 444-6492

Phone(757) 560-2457

Sole ProprietorYes

Enumeration DateApril 16, 2013

✔ NPI 1336582774 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.

745 EDEN WAY NORTH, Chesapeake, VA 23320

Open in Google Maps ↗

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 Mario Phillips's NPI number?

The NPI number for Mario Phillips is 1336582774. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Mario Phillips located?

Mario Phillips practices at 745 Eden Way North, Chesapeake, VA 23320. The listed phone number is (757) 560-2457.

What is Mario Phillips'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 Mario Phillips was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.