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

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Independent Duty Corpsman Providers

NPI Name Type Address

1912431826

MS. IDC Courtney Nicole Smith

Individual

Uss Theodore Roosevelt Cvn 71

Unit 10025 Medical

Fpo, AP

1740719814

IDC Jerricson Barlis Peralta

Individual

Psc 466 Box 3

Fpo, AP

1457871576

IDC Jesus Gerardo Flores

Individual

Uss Barry (ddg 52)

Fpo, AP

1053824649

IDC Andrew R Gibson

Individual

Evans Branch Health Clinic

Fpo, AP

1225243256

IDC William Kogiro Fullwood

Individual

Uss Tarawa Lha 1

Medical Department

Fpo, AP

1245731322

SFIDC Harley Dakis

Individual

Psc 480 Box 60

Fpo, AP

1659873040

IDC Erick Arnold Mancia

Individual

Unit 100225 Box 1

Fpo, AP

1043776149

IDC Nicole Freeborn

Individual

34800 Bob Wilson Dr

Fpo, AP

1790337681

Robert David Bills IV

Individual

34800 Bob Wilson Drive

Fpo, AP

1053955609

Christopher Zartman

Individual

Camp Foster, Okinawa Japan

Fpo, AP

1508406273

Daniel Levin

Individual

3d Recon Bn Aid Station

Fpo, AP

1649810219

SFIDC Maxwell Onyedikachi Osisioma

Individual

Psd-18, Macg-18

1st Maw Unit 37172

Fpo, AP

1518525583

MR. SFIDC William Edward Mcbreen JR.

Individual

Coastal Riverine Group 1 Detachment Guam

Fpo, AP

1639701634

Stephen Henderson

Individual

3d Recon Bn, Force Co.

Unit 36180

Fpo, AP

1942839907

MR. IDC Marcus Dupree Sanders

Individual

Uss Chafee

Unit Number 100199

Fpo, AP

1992146120

IDC Joseph James Clemons

Individual

Psc 490

#7

Fpo, AP

1538768833

IDC James Blake Weldon

Individual

Unit 100517 Bx 1

Fpo, AP

1376988998

IDC Maria Elena Curry

Individual

Uss Germantown

Fpo, AP

1831785500

MR. Richard Vu

Individual

1st Mrb

Fpo, AP

1942889795

Nash Bovard

Individual

Uss Missouri (ssn 780)

Unit 100335

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