Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 94
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Robert Conrad Castillo |
Individual |
1st Marine Special Operations Battalion Bld. 4100377 Camp Pendleton, CA |
|
|
SOIDC David Tyndall |
Individual |
1st Msob Box 555341 Camp Pendleton, CA |
|
|
MR. I.D.C. Shane Jerome Seery |
Individual |
Building 632044 Christianitos Road Naval Expeditionary Medical Training Institute Camp Pendleton, CA |
|
|
Osei Bonsu |
Individual |
1st Lar Battalion Aid Station 41 Area Branch Health Clinic Camp Pendleton, CA |
|
|
IDC Jeremy Lindsey Maddox |
Individual |
1/1 Bas 53 Area Camp Pendleton, CA |
|
|
IDC Brandon Richards |
Individual |
1st Marine Special Operations Battalion Camp Pendleton, CA |
|
|
Jerred Lee |
Individual |
62 Abmc Bldg 620305 8th Street Camp Pendleton, CA |
|
|
IDC Christian Stanley Ramirez |
Individual |
1st Marine Logistic Group Camp Pendleton, CA |
|
|
MR. SOIDC Timothy Daniel Severino |
Individual |
1st Reconnaissance Battalion Aid Station 41 Area Camp Flores Camp Pendleton, CA |
|
|
SOIDC Aaron Herman |
Individual |
1st Marine Raider Battalion Box 555339 Camp Pendleton, CA |
|
|
Anjo Castro |
Individual |
1st Medical Battalion Regimental Aid Station Camp Pendleton, CA |
|
|
IDC Zachary Dewitt Wilson |
Individual |
22 Area Regimental Aid Station 1st Medical Battalion Camp Pendleton, CA |
|
|
John Edward Bohan III |
Individual |
21 Area Del Mar Clinic Nhcp Box 555191 Camp Pendleton, CA |
|
|
MR. IDC Kirtney So Lim |
Individual |
62 Area San Mateo Naval Clinic Camp Pendleton, CA |
|
|
Michael Francom |
Individual |
4100377 West Marsoc Road Camp Pendleton, CA |
|
|
SOIDC Jonathan Eric Heyler |
Individual |
1st Reconnaissance Bn Camp Pendleton, CA |
|
|
SOIDC Daniel Grant Redifer |
Individual |
1mrb 555341 Camp Pendleton, CA |
|
|
SOIDC Thomas Raphael Rojas |
Individual |
1st Mrb Camp Pendleton, CA |
|
|
MR. SOIDC Patrick Joseph Oshaughnessy |
Individual |
4100377 West Marsoc Rd Camp Pendleton, CA |
|
|
SOIDC Gavino Martin Lopez |
Individual |
1st Marine Raider Battalion Medical 555341 Camp Pendleton, 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...
| 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 |