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SAMUEL ANTHONY WONSANG IDHS
NPI 1568153773
Military Health Care Provider - Independent Duty Corpsman in Clearwater, FL

Active since May 18, 2023
15100 RESCUE WAY, CLEARWATER, FL 33762(727) 535-1437 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Samuel Anthony Wonsang Idhs NPPES

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

SAMUEL ANTHONY WONSANG IDHS (NPI 1568153773) is an individual independent duty corpsman provider in Clearwater, Florida and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1568153773
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameSAMUEL ANTHONY WONSANGCredential: IDHS
Location Address15100 RESCUE WAYClearwater, FL 33762-3502
Mailing Address15100 Rescue WayClearwater, FL 33762-3502 · (727) 535-1437
Phone(727) 535-1437
Sole ProprietorYes
Enumeration DateMay 18, 2023
NPPES CertifiedMay 18, 2023
✔ NPI 1568153773 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.
15100 RESCUE WAY, Clearwater, FL 33762
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Other Providers at the Same Location NPPES 20

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

MRS. MARYELLEN TILLY RDH BA
Dental Hygienist
15100 RESCUE WAY, DENTAL
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
ALLEN LEE VANDEN BRINK
Military Health Care Provider (Independent Duty Corpsman)
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
TERESA DAVIS HS
Military Health Care Provider
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
USCG PERSONAL SERVICE CENTER
Health Maintenance Organization
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
KENNETH EDWARD KOPITZKE
Military Health Care Provider
15100 RESCUE WAY, USCG AIR STATION CLEARWATER CLINIC
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
MS. MELODEE ANNE GOODIER AMT
Specialist
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
DR. JARED ROSS RISPENS M.D.
Internal Medicine
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437
DR. PATRICK L. ROMERO PHARM. D.
Pharmacist
15100 RESCUE WAY
CLEARWATER, FL 33762
Pinellas County (727) 535-1437

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 Samuel Wonsang's NPI number?

The NPI number for Samuel Wonsang is 1568153773. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Samuel Wonsang located?

Samuel Wonsang practices at 15100 Rescue Way, Clearwater, FL 33762. The listed phone number is (727) 535-1437.

What is Samuel Wonsang'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 Samuel Wonsang was last updated on May 18, 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.