Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 29

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Independent Duty Corpsman Providers

NPI Name Type Address

1518171305

MR. IDC Christopher Lee Nehlen

Individual

1st Medical Battalion

1st Mlg Camp Pendleton

Oceanside, CA

1083815831

MR. Raymond Russell Beckley

Individual

240 Manzanilla Way

Oceanside, CA

1568631539

NAVY IDC Juan Carlos Vazquez

Individual

3936 Baja Vista Dr

Oceanside, CA

1235382094

David Justin Talmadge

Individual

242 Laraway St.

Oceanside, CA

1487954822

SF IDC Lazaro Santos

Individual

5201 Champlain St

Oceanside, CA

1457648784

SOIDC Greg Sharp II

Individual

737 Ash Rd

Oceanside, CA

1518246271

MR. Brian Vincent Harmon

Individual

1007 Cotton Wood N. Lane

Oceanside, CA

1720350416

IDC Ashley Nicole Kline

Individual

191 Mckinley Street

Oceanside, CA

1730440512

Mark B Naluz

Individual

518 Redwood St N

Oceanside, CA

1679829360

Joseph Michael Martin

Individual

173 Libby St

Oceanside, CA

1619310315

MR. IDC Allen Chase Ennis

Individual

720 Rodeo St

Oceanside, CA

1164652020

Sean M Bailey

Individual

519 Orchid Ln

Oceanside, CA

1790035707

MR. IDC Michael Kenneth Phillips

Individual

623 Pusan Dr

Oceanside, CA

1437594140

IDC Jeremy Daniel Morgan

Individual

5051 Calle Arquero

Oceanside, CA

1407134604

SFIDC Summer Raenae Perez

Individual

816 Blue Bell Ln

Oceanside, CA

1598174849

IDC Warren James Rifenburgh

Individual

472 Calico Rd

Oceanside, CA

1780056218

MR. SFIDC Kyle Cramer Hewitt

Individual

1005 Fandango Ct

Oceanside, CA

1649712639

Robert Harrison Dickey

Individual

4372 Pacifica Way

Unit 1

Oceanside, CA

1598295479

Gennadiy Birman

Individual

1st Medical Battalion

Camp Pendleton Bldg 22190

Oceanside, CA

1891297438

MR. Adam Christopher Jones

Individual

823 Ash Rd

Oceanside, 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