Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002

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Independent Duty Corpsman Providers

NPI Name Type Address

1174509780

MR. HS Aaron E Fulcher

Individual

2401 Hawkins Point Rd

Curtis Bay, MD

1033196597

IDHS Kevin Joseph Bishop

Individual

U.s. Coast Guard, 2100 2nd St Sw

Suite 5314

Washington, DC

1477531671

MR. SF-IDC Kevin F. Cronin

Individual

600 8th Ave Se

St Petersburg, USA

1619955655

Richard Collier Neal

Individual

563 Point Peter Rd

Saint Marys, GA

1316926066

IDC John Wallace SR.

Individual

300 E Main St

Suite 1000

Norfolk, VA

1356311518

IDC Michael F Ballard

Individual

5722 Integrity Dr

Bldg S771

Millington, TN

1316917586

MR. IDC Timothy James Francis

Individual

5722 Integrity Dr

Bldg S771

Millington, TN

1942270061

MR. Ronald Dailey

Individual

400 Russell Ave

New Orleans, LA

1881664910

MR. Wendell Reese Bates

Individual

400 Russell Ave

New Orleans, LA

1336129659

MR. SURFACE IDC Eric Earl Cousin

Individual

123 Intrepid Dr

Belle Chasse, LA

1497726525

MR. IDC Mario Oswaldo Martin

Individual

2446 Trident Way

San Diego, CA

1598736449

MR. IDC Michael Tad Garritson

Individual

2446 Trident Way

Medical Clinic

San Diego, CA

1790756641

IDC Edward J Biggs

Individual

2446 Trident Way

Medical Department Nswc

San Diego, CA

1710959010

MR. IDC USN Walter Merrille Mccorkill

Individual

Riverine Group One

Attn Bldg 2012 240 Amphibious Dr Ste 125

Norfolk, VA

1366415614

MR. IDC Franklin Jay Jensen JR.

Individual

2901 Amphibious Dr

Norfolk, VA

1265407191

MR. CORPSMAN Matthew Todd Benton

Individual

1175 Airport Access Rd

Traverse City, MI

1649247305

Keith Martin Boyce

Individual

9756 Ranger Rd

Fairfax, VA

1336116102

Scott Robert Hantsch

Individual

140 Sylvester Rd

San Diego, CA

1639147697

IDC Wayne Carleton Johnson

Individual

Naval Hospital

Box 788250

Twentynine Palms, CA

1639147606

MR. David Andrew Peterson JR.

Individual

Nomi Det Numi Submarine Base Nlon

Building 159

Groton, CT

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 1710I1002X
Specialization Independent Duty Corpsman
Display Name Independent Duty Corpsman
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
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.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689