Individual provider · Type 1 NPI
Mark Richard Gyenes, HS(IDC/DMT)
Independent Duty Corpsman · Memphis, TN
Practice location
2 Auction Ave
Memphis, TN 38105-1502
Fax (901) 544-3915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B1583538 (TN) |
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
| Independent Duty Medical Technicians | 1710I1003X | None listed |
| Health Information Technician | 247000000X | None listed |
| Other Technician | 247200000X | None listed |
| Nurse's Aide | 376K00000X | A00065327 (MD) |
| Nurse's Aide | 376K00000X | 3900062 (TN) |
Independent Duty Corpsman: 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 othe…
2 other providers at this address
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About NPI 1104802875
Mark Richard Gyenes, HS(IDC/DMT)'s National Provider Identifier is 1104802875, issued on Dec 15, 2005. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Memphis, TN. The record was last updated on Jul 13, 2026.