Michael Chad Gandy, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Anti-Terrorism Battalion, 2ND Marine Division
Unit 20165
Camp Lejeune, NC 28542-0165

Phone

(910) 450-9431

Fax

(910) 450-9223

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043427396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 BROOKSTONE WAY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANTI-TERRORISM BATTALION, 2ND MARINE DIVISION",
            "address_2": "UNIT 20165",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420165",
            "telephone_number": "910-450-9431",
            "fax_number": "910-450-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDY",
        "first_name": "MICHAEL",
        "middle_name": "CHAD",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "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": []
}

• Steven Galeski, PA-C
• Julius L Gall, MD
• Gabriel M Gallinal
• Denise Marie Galvan
• Paris Michael Gandee, IDC
• Bradley Arthur Gannon, IDC
• Taylor Gant, MD
• Nicholas McAlister Gaouette
• Danilo A Garcia-Duenas, AGACNP
• Shanna Leigh Garcia, OTR

• Independent Duty Corpsman in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• Independent Duty Corpsman in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.