Christopher Demarcus Hawkins, I.D.C.

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

47149 Buse Rd BLDG 1370
Patuxent River, MD 20670-1540

Phone

(301) 342-1444

NPI assigned

Apr 19, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christopher D Hawkins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1003173741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47149 BUSE RD BLDG 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701540",
            "telephone_number": "301-342-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47149 BUSE RD BLDG 1370",
            "city": "PATUXENT RIVER",
            "state": "MD",
            "postal_code": "206701540",
            "telephone_number": "301-342-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "CHRISTOPHER",
        "middle_name": "DEMARCUS",
        "name_prefix": "Mr.",
        "credential": "I.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "HAWKINS",
            "middle_name": "D",
            "credential": "MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kassidy Garcia
• Ryan Gelsinger
• Bethany Jewell God, M.D.
• Allen Grove, PH.D.
• Kelly M. Harvey
• Heather Denise Henderson
• William Anthony Hill, RN, OD
• Shannon Christine Hudson, IDC
• Saqib Muhammad Ishteeaque, DMD
• Leslie Ann Jago, PHARMD.

• Independent Duty Corpsman in Patuxent River, MD
• Providers in Patuxent River, MD by specialty
• Independent Duty Corpsman in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.