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MR. MARK MAMMOTH
NPI 1760668792
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Active since January 22, 2008
1 WAHOO DRIVE, NAVAL BRANCH HEALTH CLINIC, GROTON, CT 06349(860) 694-2377(860) 694-2590 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Mark Mammoth NPPES

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

MR. MARK MAMMOTH (NPI 1760668792) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1760668792
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. MARK MAMMOTH
Location Address1 WAHOO DRIVE, NAVAL BRANCH HEALTH CLINICGroton, CT 06349-5600
Mailing Address1 Wahoo Drive, Naval Branch Health ClinicGroton, CT 06349-5600 · (860) 694-2377 · Fax (860) 694-2590
Phone(860) 694-2377
Fax(860) 694-2590
Sole ProprietorYes
Enumeration DateJanuary 22, 2008
✔ NPI 1760668792 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.
1 WAHOO DRIVE, Groton, CT 06349
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Other Providers at the Same Location NPPES 7

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

JARED E. AKERS IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO DRIVE, SUBACE NLON
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
ANN GREEN PT
Physical Therapist
1 WAHOO DRIVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4974
MRS. LORI ROTHROCK PT, MPT
Physical Therapist
1 WAHOO DRIVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4974
JOHN ALLAN CONNORS IDC
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO DRIVE, NAVAL BRANCH HEALTH CLINIC
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4123
MS. MARIA MORMAY GALLAGHER LCSW
Social Worker (Clinical)
1 WAHOO DRIVE, 449
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-4966
MR. KARL FREDERICK SCHRIEVER
Military Health Care Provider (Independent Duty Corpsman)
1 WAHOO DRIVE, NAVAL BRANCH HEALTH CLINIC
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-2377
DR. CHRISTINA E TOUFEXIS M.D.
Pediatrics
1 WAHOO DRIVE
GROTON, CT 06349
Southeastern Connecticut Planning Region (860) 694-7512

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 Mark Mammoth's NPI number?

The NPI number for Mark Mammoth is 1760668792. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Mark Mammoth located?

Mark Mammoth practices at 1 Wahoo Drive Naval Branch Health Clinic, Groton, CT 06349. The listed phone number is (860) 694-2377.

What is Mark Mammoth'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 Mark Mammoth was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.