ETHAN JAMES MELONE SOIDC
NPI 1912789710
Military Health Care Provider - Independent Duty Corpsman in Fpo, AP

Active since October 17, 2023
UNIT 36180 3D RECONNAISSANCE BATTALION, H&S, BAS, FPO, AP 96389(703) 597-3817 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan James Melone Soidc NPPES

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

ETHAN JAMES MELONE SOIDC (NPI 1912789710) is an individual independent duty corpsman provider in Fpo, AP, licensed in North Carolina (02236644EM) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1912789710
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameETHAN JAMES MELONECredential: SOIDC
Location AddressUNIT 36180 3D RECONNAISSANCE BATTALION, H&S, BASFpo, AP 96389-6180
Mailing Address10025 Marshall Pond RdBurke, VA 22015-3735 · (703) 597-3817
Sole ProprietorNo
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 16, 2023
NPI 1912789710 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
License Licensed in NC · 02236644EM
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.
UNIT 36180 3D RECONNAISSANCE BATTALION, H&S, BAS, Fpo, AP 96389

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 Ethan Melone's NPI number?

The NPI number for Ethan Melone is 1912789710. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Ethan Melone located?

Ethan Melone practices at Unit 36180 3D Reconnaissance Battalion, H&s, Bas, Fpo, AP 96389. The listed phone number is (703) 597-3817.

What is Ethan Melone'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 Ethan Melone was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.