Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 4
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Benedict Jovellano Jacob |
Individual |
1 Hooper Blvd Imperial Beach, CA |
|
|
MS. IDC Tamara Dee Thacker |
Individual |
1128 Emory St Imperial Beach, CA |
|
|
IDC Nicholas Jurski |
Individual |
1498 13th St Nolf Bldg 193 Imperial Beach, CA |
|
|
IDC Jordan Knoppert |
Individual |
1498 13th Street Nolf Bldg 193 Imperial Beach, 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 |