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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1508154014

MRS. Claudia Perez

Individual

Bldg 618 Mccain Blvd

Nbc North Island

San Diego, CA

1245518448

IDC Austin Thomas Smith

Individual

9414 Gemini Ave

San Diego, CA

1881972081

IDC Monica Marcel Reeves

Individual

3177 Chatelain Pl

San Diego, CA

1962780163

MS. IDC Jennifer Marie Schaffner

Individual

8685 Rio San Diego Dr

Apt 4109

San Diego, CA

1669750865

MRS. IDC Hope Ann Harmon

Individual

3695 Norman Scott Rd # C197

San Diego, CA

1619255205

Benjamin Huddleston

Individual

34101 Farenholt Ave

San Diego, CA

1710265038

MR. Michael Joseph Fuchs

Individual

1923 Truxtun Rd

San Diego, CA

1912286196

SFIDC John L Palomares

Individual

1502 Paradise Hills Rd

San Diego, CA

1366721557

IDC Katelyn Moorman

Individual

1637 Paseo Aurora

San Diego, CA

1013195718

IDC Carletus M Patrick

Individual

2450 Craven St

San Diego, CA

1104108711

MR. IDC Jason Patrick Cordero

Individual

5038 Cove View Pl

San Diego, CA

1386926640

MR. IDC Nathan Hardin

Individual

8538 Larkdale Ave

San Diego, CA

1457633711

MR. DIVE IDC Bryan Judson Smith

Individual

34101 Farenholt Ave

San Diego, CA

1003199738

MR. IDC Michael William Ashline

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1588941660

IDC Chad Russell Hansen

Individual

34101 Farenholt Ave

San Diego, CA

1245517333

MR. IDC Robert Chadwick Harper

Individual

34101 Farenholt Ave

Surface Warfare Medicine Institute

San Diego, CA

1457638546

IDC Joshua Brent Dehaven

Individual

2642 Trident Way Bldg 616

San Diego, CA

1629355722

MR. HM 8425 Christopher Lee Kopf

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1841577954

MR. IDC Franklin Harrison Newell

Individual

34101 Farenholt Ave

San Diego, CA

1740567700

MR. INDEPENDENT DUTY HM James Aaron Ryan

Individual

34101 Farenholt Ave

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689