Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 145

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Independent Duty Corpsman Providers

NPI Name Type Address

1548237928

MR. IDC Andrew Thomas Chubb

Individual

Mcm Crew Implicit

Medical Department

Fpo, AE

1699744102

SF-IDC/CIHM Jason Bradley Johnson

Individual

Psc 844 Box 63

Fpo, AE

1679534747

IDC David Lowe

Individual

Usnh

Box 55

Fpo, AE

1558323725

MR. IDC Heath Wade Wallace

Individual

Uss Theodore Roosevelt Cvn 71

Medical Department

Fpo, AE

1609814995

MR. IDC Weston Rayth Wright

Individual

Uss George Washington Cvn-73

Box 67

Fpo, AE

1215142195

MRS. IDC Sonya Annette Hendrix

Individual

Uss George Washington Cvn-73

Medical Department

Fpo, AE

1114139185

MS. IDC Yolonda Delline Franklin

Individual

Uss Dwight D Eisenhower Cvn 69

Medical Dept

Fpo, AE

1568679553

MR. IDC John Joseph Morales

Individual

Uss Laboon Ddg 58

Fpo, AE

1487861258

MR. IDC Glenn Anthony Balestino

Individual

Uss Vella Gulf

Cg 72

Fpo, AE

1740481266

IDC Stephen R. Flores

Individual

Uss Hawes

Medical Dept

Fpo, AE

1558565929

MR. Kenneth Roy Mazer

Individual

Psc 814 Box 19

Fpo, AE

1174727549

Natalie Soto

Individual

Psc 814 Box 19

Fpo, AE

1831397744

IDC Aaron Michael Rich

Individual

Nswu3

Psc451 Box 460

Fpo, AE

1801096540

MR. IDC Milton R Labarr

Individual

Commanding Officer

Uss Monterey Cg61 Attn Medical

Fpo, AE

1437345279

MR. I.D.C Jeffrey Chad Cook

Individual

Mcm Crew Impervious

Medical Department

Fpo, AE

1023202546

IDC Brian Morse Jacobson

Individual

Mcm Crew Reaper

Fpo, AE

1053509190

MS. Amanda Lynn Mcdevitt

Individual

Uss Theodore Roosevelt

Cvn 71

Fpo, AE

1508045931

CNMT Angela Katrice Williams-marie

Individual

Uss Harry S Truman Cvn 75

Box 80

Fpo, AE

1265626543

MR. IND DUTY CORPSMAN Junior M Perez

Individual

Uss Arleigh Burke Ddg 51

Medical Department

Fpo, AE

1073797452

SFIDC Dusty Alan Webb

Individual

Uss Harry S Truman

Box 80

Fpo, AE

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