Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 216

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Independent Duty Corpsman Providers

NPI Name Type Address

1245411487

IDC Robert Frank Bott

Individual

Surface Warfare Medicine Institute

34101 Farenholt Ave

Fpo, AP

1902049463

IDC Timothy Michael Bickerton

Individual

Uss George Washington Cvn 73

Fpo, AP

1528027653

MR. INDEPENDANT DUTY COR Sean Courtney Madsen

Individual

Nmcb 3

Unit 25269

Fpo, AP

1902031065

MR. IDC Joseph M. Haner JR.

Individual

Nmcb 3 B1436

Unit 25269

Fpo, AP

1104052422

MR. SUBMARINE IDC Chad Nathan Roberts

Individual

Uss Buffalo (ssn 715)

Medical Department

Fpo, AP

1225072366

Michael Lee Miller

Individual

Uss Alaska (ssbn 732)

Fpo, AP

1336377662

MR. IDC John Paulo Quitoriano

Individual

Iii Marine Expeditionary Force

Unit 35601

Fpo, AP

1780815472

MR. SUB IDC Larry Charles Gatrell JR.

Individual

Uss City Of Corpus Christi # 705

Fpo, AP

1952585887

MR. SFIDC Shawn Paul Brooks

Individual

Uss Decatur

Ddg 73

Fpo, AP

1285867200

MS. IDC Kimberly Leigh Weber

Individual

Msron 5

Fpo, AP

1346574209

MR. IDC Marc-nathan Dufresne Aspiras

Individual

Psc 559 Box 5304

Fpo, AP

1477769917

SUBMARINE IDC Randy Ferrer Swanson

Individual

Uss Charlotte (ssn 766)

Fpo, AP

1578899647

MR. Shawn Patrick Sweet

Individual

Uss Tucson (ssn 770)

Fpo, AP

1104153790

MR. IDC Miguel Angel Lugo

Individual

Uss Los Angeles (ssn 688)

Fpo, AP

1114254448

MR. IDC Hector Joel Silva

Individual

3med Bn 3mlg H&s Co. Unit 38447

Fpo, AP

1992033898

Bopha Chan

Individual

Psc 482

Box 2520

Fpo, AP

1801125497

MISS IDC Elizabeth Ann Hines

Individual

Uss Frank Cable

Med Dept

Fpo, AP

1770813982

Marco Antonio Murillo

Individual

3d Med Bn, 3d Mlg

H&s Co. Unit # 38446

Fpo, AP

1043541964

MR. IDC Donald Eugene Holtzman

Individual

Uss Nebraska Ssbn 739 Gold

2100 Thresher Ave

Fpo, AP

1629309562

MR. NAVY IDC Jeremy Michael Miller

Individual

7th Esb Bas

Unit 42210

Fpo, AP

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