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NATHAN DANIEL DEJAGER SURFACE IDC
NPI 1477819332
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since April 05, 2012
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 871-4737 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Daniel Dejager Surface Idc NPPES

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

NATHAN DANIEL DEJAGER SURFACE IDC (NPI 1477819332) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1477819332
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameNATHAN DANIEL DEJAGERCredential: SURFACE IDC
Location Address5501 MARVIN SHIELDS BLVDGulfport, MS 39501-9007
Mailing Address5501 Marvin Shields BlvdGulfport, MS 39501-9007 · (228) 871-4737
Phone(228) 871-4737
Sole ProprietorNo
Enumeration DateApril 5, 2012
✔ NPI 1477819332 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.
5501 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Other Providers at the Same Location NPPES 15

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

MR. DAVID RAY BRANCH IDC
Specialist/Technologist, Other
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
JESSE LEE PALACIOS II
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
DAVID CHARLES HALBERG
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
MR. DAVID ALEXANDER GLENN JR. IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5061
DR. STEPHEN L MIKELL MD
Pediatrics
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-4033
COLTON ANTHONY WEGRZYN IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5919
MR. CHARLES EDWARD GIVENS JR. IDC
Military Health Care Provider (Independent Duty Corpsman)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 871-2810
MS. JULIE BISHOP LCSW
Social Worker (Clinical)
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501
Harrison County (228) 822-5067

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 Nathan Dejager's NPI number?

The NPI number for Nathan Dejager is 1477819332. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Nathan Dejager located?

Nathan Dejager practices at 5501 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 871-4737.

What is Nathan Dejager'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 Nathan Dejager was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.