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MR. TIMOTHY WAYNE MACKEY JR. IDC
NPI 1366162059
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since September 01, 2022
USS ABRAHAM LINCOLN, CVN 72, FPO, AP 96649(912) 275-4040 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Mar 6, 2023, Feb 8, 2023, Sep 1, 2022 (3 updates tracked since 2022).

About Mr. Timothy Wayne Mackey Jr. Idc NPPES

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

MR. TIMOTHY WAYNE MACKEY JR. IDC (NPI 1366162059) is an individual independent duty corpsman provider in Fpo, AP, licensed in (1366162059) and active in the NPI registry since September 2022. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1366162059
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. TIMOTHY WAYNE MACKEY JR.Credential: IDC
Location AddressUSS ABRAHAM LINCOLN, CVN 72Fpo, AP 96649
Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-5291 · (619) 532-5110
Phone(912) 275-4040
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
Last NPPES UpdateMarch 6, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1366162059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
License✔ Licensed · 1366162059
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
USS ABRAHAM LINCOLN, Fpo, AP 96649
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Secondary Practice Location 1

Location 134101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · Phone (619) 532-5110

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 Timothy Mackey's NPI number?

The NPI number for Timothy Mackey is 1366162059. It was assigned to this individual provider in the NPPES registry on September 1, 2022.

Where is Timothy Mackey located?

Timothy Mackey practices at Uss Abraham Lincoln Cvn 72, Fpo, AP 96649. The listed phone number is (912) 275-4040.

What is Timothy Mackey'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 Timothy Mackey was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.