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

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Independent Duty Corpsman Providers

NPI Name Type Address

1619205531

MR. IDC Paul Eldon Bauer II

Individual

Uss Barry Ddg 52

09565-1270

Fpo, AE

1679801401

MR. HMC John Acido Infante

Individual

Uss Boise

Ssn 764

Fpo, AE

1497084677

IDC Jerald J Poole

Individual

Uss Ramage

Ddg 61

Fpo, AE

1972562007

Michael David Ferretta JR.

Individual

Uss Gonzalez Ddg 66

Medical Department

Fpo, AE

1942531454

MR. IDC Byron Lyn Davis

Individual

Uss Bainbridge (ddg 96)

Fpo, AE

1932431632

MR. IDC Willie Eugene Robinson JR.

Individual

Uss Oak Hill

Lsd 51

Fpo, AE

1740502590

MR. Tony Ward

Individual

Uss Truxtun Ddg-103

Fpo, AE

1790008019

IDC Roger Dale Phibbs JR.

Individual

Uss Mason (ddg 87)

Medical Department

Fpo, AE

1306169560

SMDR/IDC James Elliot Wigfall

Individual

Uss Laboon

Ddg 58

Fpo, AE

1932422029

Kenneth Gene Chapman

Individual

Uss Anzio

Cg-68

Fpo, AE

1548583347

IDC Ryan Walter Dilks

Individual

Commanding Officer Attn: Mdr

Uss Tennessee (ssbn 734)(blue)

Fpo, AE

1255656633

MR. IDC Stephen E Hartman

Individual

Uss Harry S. Truman

Box 80

Fpo, AE

1164748174

MR. IDC Brent C Pope

Individual

Psc 451 Box 340

Fpo, AE

1902123565

MR. Giuseppe Trovato

Individual

Psc 451 Box 340

Fpo, AE

1902124779

Mark Rodger Boyle

Individual

1st Msob, Los Flores

555341

Fpo, AE

1689987463

IDC Curtiss Dee Stapleton

Individual

Uss Miami Ssn-755

Medical Department Representative

Fpo, AE

1881908382

MR. SUB IDC Retroyreo Demonza Conner

Individual

Uss New Mexico (ssn 779)

Fpo, AE

1356655625

NAVY IDC Jason Matthew Overly

Individual

Uss Ponce Lpd-15

Fpo, AE

1851605547

Naval Hospital Rota Spain

Organization

Psc 819

Box 18 - 211

Fpo, AE

1538338413

MR. NAVY IDC James Christopher Wallace

Individual

Uss Ross

Ddg 71

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