Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 94

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Independent Duty Corpsman Providers

NPI Name Type Address

1902052616

Jeff Doran

Individual

H-100 Santa Margarita Rd

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1902042898

William Robert Zorrer II

Individual

Nhcpb 555191

Commanding Officer

Camp Pendleton, CA

1285875328

MR. IDC Allen Christopher Pate

Individual

Naval Operational Medicine Institute Building 632044

Detachment Naval Expeditionary Medical Training Inst.

Camp Pendleton, CA

1558675652

MR. SOIDC John Lawrence Murray

Individual

1st Msob Medical Department

Box 555341

Camp Pendleton, CA

1790094035

MRS. IDC Jennifer Ann Solano

Individual

210735 Camp Del Mar

Camp Pendleton, CA

1992015085

MR. SOIDC Travis Michael Walker

Individual

1st Marine Special Operations Battalion

Medical Department

Camp Pendleton, CA

1982857645

IDC Charissa Maria Czarniawski

Individual

Smo Mag 39 Medical Cg Thirdmaw

Box 555750

Camp Pendleton, CA

1316249493

MR. SOIDC Justin Andrew Wilson

Individual

1st Marine Special Operations Battalion

Medical Department

Camp Pendleton, CA

1760784847

MR. IDC Richard Wesley Hoover

Individual

21 Abmc

Naval Hospital

Camp Pendleton, CA

1720381031

MR. SOIDC Andrew Owen Warner

Individual

1st Marine Special Operations Bn.

Medical Box 555341

Camp Pendleton, CA

1306141379

MISS IDC Amanda E Wardleigh

Individual

1st Medical Battalion

Camp Pendleton, CA

1053602334

SOIDC Blair Ellis Dell

Individual

1st Marine Special Operations Battalion

Box 555341

Camp Pendleton, CA

1336433358

MR. IDC Devin Conroy Reed

Individual

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1710162706

MRS. IDC Maria Gonzalez

Individual

H100 Santa Margarita Road

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1497038020

Kevin James Toland

Individual

1st Marine Special Operations Btn.

Camp Pendleton, CA

1891079877

SFIDC Nathan Dyska

Individual

Bldg 14008 16th St

1st Mlg, Clr-17 Ras

Camp Pendleton, CA

1043589245

MR. IDC Joe Gallardo III

Individual

22 Area Regimental Aid Station

1st Medical Battalion

Camp Pendleton, CA

1083938435

IDC Gomer Llamazares Turiano

Individual

1st Marine Division

Camp Pendleton, CA

1003180589

IDC James Robertson

Individual

1st Marine Division

Camp Pendleton, CA

1871867127

MR. Shawn Lee Pittman

Individual

1st Marine Special Operations Battalion Building 410037

Box 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...

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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