Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Veronyka T Young |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
MR. IDC Ehren Lietz |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
IDC Brian James Jackson |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
MR. IDC Michael D Looker |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Michael Ryan Hendricks |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Michael Legaspi |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Jerome Stanley Harding II |
Individual |
35000 Guadalcanal St Branch Medical Clinic Mcrd San Diego, CA |
|
|
MR. SF IDC Donald William Aichroth |
Individual |
Bldg 2496, Bauer Road Bmc Miramar San Diego, CA |
|
|
IDC Nelson Jose Mejia |
Individual |
33000 Nixie Way Bldg.#50, Ste.#245 San Diego, CA |
|
|
IDC Brian Thomas |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jennifer Lynn Myers |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
MR. IDC Gary Cherry JR. |
Individual |
35000 Guadalcanal St Branch Medical Clinic Mcrd San Diego, CA |
|
|
MS. Holly Ann Crabtree |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Terry Dwayne Shoulders |
Individual |
3402 Tarawa Rd. Special Boat Team Twelve Medical Department San Diego, CA |
|
|
IDC Marc M Vidale |
Individual |
3325 Senn Rd Suite 7 Bldg 55 San Diego, CA |
|
|
IDC Albert Richmond |
Individual |
Nolf Ib Bldg 196 Box 357140 San Diego, CA |
|
|
MR. IDC Andre Ramon Kirkendoll |
Individual |
34101 Farenholt Ave Bldg 14 Surface Warfare Medical Institute San Diego, Ca 92134 San Diego, CA |
|
|
MR. IDC Ronald Cruz Eusebio |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Keith Francis Eten |
Individual |
34800 Bob Wilson Drive San Diego, CA |
|
|
IDC James Alfonso Abeyta |
Individual |
3402 Tarawa Rd 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...
| 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 |