Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760

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Independent Duty Corpsman Providers

NPI Name Type Address

1497726525

MR. IDC Mario Oswaldo Martin

Individual

2446 Trident Way

San Diego, CA

1598736449

MR. IDC Michael Tad Garritson

Individual

2446 Trident Way

Medical Clinic

San Diego, CA

1790756641

IDC Edward J Biggs

Individual

2446 Trident Way

Medical Department Nswc

San Diego, CA

1336116102

Scott Robert Hantsch

Individual

140 Sylvester Rd

San Diego, CA

1699743534

IDC Mark L Williamson

Individual

3325 Senn Road

Comdesron One Building 55 Second Floor

San Diego, CA

1871560284

MR. IDC Allen James Laheist

Individual

140 Sylvester Rd

San Diego, CA

1811964844

SFIDC Armando Gonzalez

Individual

Macg-38 Medical

San Diego, CA

1801864871

MR. IDC Matthew Donald Cochrane

Individual

19871 Bauer Rd

Branch Medical Clinic Mcas Miramar

San Diego, CA

1780653451

Jeff Cavallo

Individual

34101 Farenholt Ave

Naval School Of Health Science (sfidc)

San Diego, CA

1891763371

NAVY IDC Jared James Goodrow

Individual

34101 Farenholt Ave

Naval School Of Health Sciences

San Diego, CA

1578531687

MS. INDEPENDENT DUTY COR Amber Nicole Floyd

Individual

Branch Medical Clinic Miramar

2496 Mitchner Wy

San Diego, CA

1124097274

Carlos Hiram Rosario

Individual

2650 Stockton Rd

San Diego, CA

1679542005

Mark Bjornson

Individual

Regional Support Organization

3325 Senn Rd, Suite 7

San Diego, CA

1790745552

MR. IDC Rowel Limbo Cannu

Individual

34800 Bob Wilson Dr

San Diego, CA

1821059098

IDC Philip F Confer

Individual

2450 Craven St

San Diego, CA

1528029881

IDC Andres Costas Aranda

Individual

6400 Guadalcanal St

San Diego, CA

1316908338

Shawn Eric Mcdonald

Individual

35000 Guadacanal St

San Diego, CA

1003877648

MR. INDEPENDENT DUTY COR Timothy William Newman I

Individual

10353 San Diego Mission Rd

Apt C219

San Diego, CA

1417919986

MR. IDC Lawrence Milton Preston JR.

Individual

3408 Bob Wilson Dr

San Diego, CA

1699737924

MR. IDC Joe H Espinosa III

Individual

3975 Norman Scott Rd

Suite 1

San Diego, 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