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

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Independent Duty Corpsman Providers

NPI Name Type Address

1316296346

MR. NAVY IDC Clinton Mayes

Individual

Uss Pittsburgh

Ssn720

Fpo, AE

1538405188

IDC Alicia Denise Brady

Individual

Uss Barry Ddg 52

Fpo, AE

1336486117

IDC Lucas Wyatt Warren

Individual

1st Marine Special Operations Bn. Medical

Box 555341

Fpo, AE

1245570639

MR. IDC Ashruf Nabih Judeh

Individual

Uss Leyte Gulf (cg 55)

Fpo, AE

1104269299

SFIDC Leonardo Philip Cirino

Individual

Uss San Jacinto

Cg 56

Fpo, AE

1215376280

MRS. SFIDC Tiffany A Kidd

Individual

Psc 451 Box 340

Fpo, AE

1174738322

IDC/RN Stephan Michael Howard

Individual

Uss Kauffman Ffg-59

Medical Department

Fpo, AE

1588092597

MISS HM2 Jhandi Finnel

Individual

Psc 851 Box 340

Fpo, AE

1962825042

Thomas Baldridge

Individual

Uss Dallas Ssn 700

Fpo, AE

1457775512

MR. Christopher Williams

Individual

Uss Fort Mchenry (lsd 43)

Fpo, AE

1861802696

MR. IDC Curtis Leo Null III

Individual

Uss Cole Ddg 67

Fpo, AE

1538570577

MR. O Michael Hammock JR.

Individual

Uss Arleigh Burke Ddg 51

Fpo, AE

1932510377

IDC Samantha Irene Clark

Individual

Psc 851 Box 340

Fpo, AE

1184039356

Robert Shird

Individual

Uss Harry S Truman

Cvn 75

Fpo, AE

1821404856

Richard Anthony Moreno

Individual

Uss Mitscher

Fpo, AE

1780091728

Morgan Jones

Individual

Uss Forrest Sherman

Ddg 98

Fpo, AE

1902214638

MR. James Williams

Individual

Uss Whirlwind

Pc 11

Fpo, AE

1952719411

Alesha Lee

Individual

Psc 810 Box 185

Fpo, AE

1730598046

Tara Gatlin

Individual

Uss Barry

Ddg 52

Fpo, AE

1639511215

SFIDC John Emmanuel Lowe

Individual

Psc 817 Box 3119

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