MR. THEODORE HARRISON JR. IDC
NPI 1972791218
Military Health Care Provider - Independent Duty Corpsman in Suffolk, VA

Q: What is Theodore Harrison's NPI number?

The NPI number for Theodore Harrison is 1972791218. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Theodore Harrison's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Harrison was last updated on October 11, 2007. 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.

Active since October 11, 2007

3020 SILVER CHARM CIR, SUFFOLK, VA 23435(757) 375-5017 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Theodore Harrison Jr. Idc NPPES

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

MR. THEODORE HARRISON JR. IDC (NPI 1972791218) is an individual independent duty corpsman provider in Suffolk, Virginia and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1972791218

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. THEODORE HARRISON JR.Credential: IDC

Location Address3020 SILVER CHARM CIRSuffolk, VA 23435-3343

Mailing Address3020 Silver Charm CirSuffolk, VA 23435-3343 · (757) 375-5017

Phone(757) 375-5017

Sole ProprietorNo

Enumeration DateOctober 11, 2007

✔ NPI 1972791218 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.

3020 SILVER CHARM CIR, Suffolk, VA 23435

Open in Google Maps ↗

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 Theodore Harrison's NPI number?

The NPI number for Theodore Harrison is 1972791218. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Theodore Harrison located?

Theodore Harrison practices at 3020 Silver Charm Cir, Suffolk, VA 23435. The listed phone number is (757) 375-5017.

What is Theodore Harrison'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 Theodore Harrison was last updated on October 11, 2007. 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.