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

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Independent Duty Corpsman Providers

NPI Name Type Address

1093828857

MR. IDC Andre Robert Carpentier

Individual

Uss Miami Ssn-755

Fpo, AE

1073750972

David Bakos

Individual

Uss Texas (ssn 775)

Fpo, AE

1609013549

Nicolas David Mendoza

Individual

Uss Hawaii (ssn 776)

Fpo, AE

1972740595

IDC Daniel Shane Messer

Individual

Uss Springfield

Ssn 761

Fpo, AE

1629218680

SUB IDC Ronald Quinn Goodson

Individual

Uss Norfolk Ssn-714

Fpo, AE

1144461799

MR. Lemuel U Paalam

Individual

Uss Montpelier

(ssn 765)

Fpo, AE

1578797643

MR. IDC Venson Matthew Graves

Individual

Uss Theodore Roosevelt # 71

Cvn-71

Fpo, AE

1629162086

IDC Christopher T Grimm

Individual

Uss Mcfaul (ddg 74)

Medical Department

Fpo, AE

1447487566

IDC Amylyn Villena Rogers

Individual

Uss Mesa Verde Lpd 19

Fpo, AE

1245463231

MR. IDC Cory D. Perry

Individual

Uss Elrod Ffg 55

Fpo, AE

1801029533

IDC Glenn A Keefer

Individual

Uss Mahan

Fpo, AE

1679706345

MR. NAVY IDC Mervin Peter Santos

Individual

Uss Winston S. Churchill Ddg 81

Medical Dept

Fpo, AE

1245564475

MS. IDC Joanne Michelle Sanchez

Individual

Uss Nitze # 94

Fpo, AE

1083893044

IDC Robert Lee Loomis JR.

Individual

Uss Kearsarge

Fpo, AE

1932433901

IDC Anthony Craig Winkler

Individual

Uss Donald Cook Ddg 75

Medical Department

Fpo, AE

1679807424

IDC Jennifer Joy Skok

Individual

Uss San Antonio

Hm01/ Medical

Fpo, AE

1619202983

MR. NAVY IDC Frank J Maccarelli SR.

Individual

Uss San Jacinto Cg-56

Fpo, AE

1598090359

IDC Louis M Steele JR.

Individual

Uss Wasp

Lhd-1

Fpo, AE

1649410051

MS. IDC Charity Broomfield

Individual

Uss Bulkeley

Ddg 84, Uic 22992

Fpo, AE

1346576139

MR. IDC Ricardo Eugene Parr

Individual

Uss Pittsburgh

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