Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 6

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Independent Duty Corpsman Providers

NPI Name Type Address

1710036678

MR. Eugene Robert Mason

Individual

Bldg 42 Coast Guard Island

Alameda, CA

1770638413

MR. HS Rocky James Gipson

Individual

Uscgc Bertholf (wmsl-750)

Coast Guard Island

Alameda, CA

1053615997

Trevor Strobel

Individual

2144 Clement Ave

Alameda, CA

1518638683

Alberto Castilleja

Individual

1 Eagle Rd

Alameda, CA

1538801758

Mary Ann Zepeda

Individual

1 Eagle Rd

Alameda, CA

1639811565

IDHS Peter Sean Loye

Individual

1 Eagle Rd

Alameda, CA

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