Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 29
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. OTHER Fernando Juarez |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
IDC Mike Cockrill |
Individual |
Underwater Construction Team 2 4643 Dock Road, Bldg 524 Port Hueneme, CA |
|
|
MR. IDC David Roger Heglin |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
MR. IDC Jerry M Smith JR. |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
MR. IDC Brian Michael Strahl |
Individual |
5 Nmcb 5 Street Port Hueneme, CA |
|
|
MR. SFIDC Joshua William Ross |
Individual |
Naval Ambulatory Care Clinic 162 1st Street Building 1402 Port Hueneme, CA |
|
|
Shawn Jeremy Kern |
Individual |
Underwater Construction Team 2 Medical 4643 Dock Road Bldg 524 Port Hueneme, CA |
|
|
MR. IDC/RN Leo Borisovich Bugaeff I |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
I.D.C. Carlos Roberto Martinez |
Individual |
161 1st St Bldg 1402 Port Hueneme, CA |
|
|
Ryan T De La Cruz |
Individual |
Nmcb - 3 Unit 25269 Fpo Ap 96601 Port Hueneme, CA |
|
|
INDEPENDENT DUTY HM Julio Cesar Ortiz |
Individual |
Naval Ambulatory Care Ctr 162 First St. Port Hueneme, CA |
|
|
IDC Erik Christian Ketelsen |
Individual |
4653 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
IDC Seth T. Secrease |
Individual |
Naval Clinic Port Hueneme 162 1st St Port Hueneme, CA |
|
|
Lamar Alan Hooper |
Individual |
162 1st St Port Hueneme, CA |
|
|
MR. DIVE IDC Timothy J. Kerr |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
MR. IDC Adam Joseph Newell |
Individual |
1991 Pacific Rd Port Hueneme, CA |
|
|
IDC Christopher Lee Walker |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
Alorah Michelle Molina |
Individual |
Naval Branch Medical Clinic 1st Ave Port Hueneme, CA |
|
|
IDC Gregory A Williams |
Individual |
2600 Dodson St Ste 3 Port Hueneme, CA |
|
|
IDC Piotor Juchniewicz |
Individual |
162 1st St Port Hueneme, 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 |