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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1538479431

IDC Michael Ryan Mutert

Individual

Pc Crew Lima

Fpo, AE

1255632998

MR. SFIDC James P Vancleave

Individual

Uss Oak Hill

(lsd 51)

Fpo, AE

1558666842

IDC Wendy Marie Tillmam

Individual

Uss Nitze (ddg94)

Medical Dept

Fpo, AE

1669605093

IDC David D Taylor

Individual

Attn: Medical

Uss Carr (ffg 52)

Fpo, AE

1720386931

IDC Sharla Darlene Bustamante

Individual

Uss Theodore Roosevelt

Cvn 71

Fpo, AE

1316236128

Robert Williamson

Individual

Uss Mitscher Ddg 57

Fpo, AE

1467742627

Navy

Organization

Uss Gonzalez

Ddg 66

Fpo, AE

1417249608

INDEPENDENT DUTY COR Derielle Rashad Thurman

Individual

Pc Crew Foxtrot

Pc Coastal Squadron

Fpo, AE

1043506488

MR. IDC Samuel Winston JR.

Individual

Uss Gonzalez Ddg 66

Fpo, AE

1275812505

MR. William Robert South

Individual

Psc451

Box340

Fpo, AE

1760450662

IDC Christopher S Boswell

Individual

Uss Gunston Hall Lsd 44

Fpo, AE

1407134760

IDC Kenneth Michael Marler

Individual

Psc 827 Box 167

Fpo, AE

1417169434

IDC John Coates

Individual

Uss Whidbey Island Lsd-41

Fpo, AE

1295000214

IDC Jared Douglas Sarro

Individual

U.s. Naval Hospital

Fpo, AE

1427323112

IDC Mercedes Rae Sawin

Individual

Uss Ross Ddg 71

Fpo, AE

1225398258

MRS. Jessica Elizabeth Delapaz

Individual

Uss Mahan

Fpo, AE

1649530312

MR. IDC Timothy Dwayne Moss

Individual

Uss Elrod Ffg 55

Fpo, AE

1497018014

Mandy Irene Broderick

Individual

Uss Jason Dunham Ddg 109

Fpo, AE

1336497734

MR. Charles M Geiger

Individual

Navl Hospital Rota Psc 819

Box 18

Fpo, AE

1760731160

IDC Alana Myers

Individual

Uss Dwight D. Eisenhower Cvn 69

Medical Department

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689