Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 9

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Independent Duty Corpsman Providers

NPI Name Type Address

1821323833

MR. IDC Scott William Carter

Individual

8198 Valley View Cir

La Mesa, CA

1295085611

IDC Armando Leija

Individual

5565 Marengo Ave

La Mesa, CA

1154744100

MR. SFIDC Isidro Avalos JR.

Individual

7921 Valley View Cir Apt 10

La Mesa, CA

1164818373

IDC Ryan Newkirk

Individual

4319 Topaz Ct Apt 244

La Mesa, CA

1063882421

MR. IDC Hector Diaz JR.

Individual

4577 Acacia Ave Apt 7

La Mesa, CA

1467976183

Osei Tutu

Individual

7632 Seattle Dr

La Mesa, CA

1073122206

MRS. EMT David Michael Hopkins

Individual

4275 Palm Ave Apt 17

La Mesa, CA

1356955918

Daniel Carr

Individual

5423 Lake Murray Blvd Apt 7

La Mesa, CA

1780103846

IDC Shannon Lynn Riffe

Individual

7200 Saranac St Apt 52

La Mesa, 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