Michael Alan Gwinn, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2050 Barb St Ste a
Silverdale, WA 98315-2050

Phone

(360) 315-4346

NPI assigned

Nov 8, 2007

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

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1043490964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 BARB ST STE A",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152050",
            "telephone_number": "360-315-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 BARB ST STE A",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983152050",
            "telephone_number": "360-315-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWINN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2015-02-19",
        "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": []
}

• Pranay Gulati, DDS
• Rishabh Gulati, MD
• James A. Gunderson, LICSW,MSW,ACSW
• Taylor Guyton, RBT
• Gerald Grant Gwin Jr., LMP
• Tei Habenicht, PA-C
• Amye M Hadley, ND, ARNP
• Kelly R Hadley, LICSW
• Brittany Irene Hageman, MA, CCC-SLP
• Rodney Steven Hagerman, DO, MPH

• Independent Duty Corpsman in Silverdale, WA
• Providers in Silverdale, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.