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

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Independent Duty Corpsman Providers

NPI Name Type Address

1265786156

MR. IDC Kyle Joseph Mcintosh

Individual

5803 Riley St

Unit 2

San Diego, CA

1891049789

MR. IDC Barryon D Starks

Individual

9812 Mercy Rd Apt 6

San Diego, CA

1407100191

MR. IDC Corey Lamel Springs

Individual

2631 A St

Apt 3

San Diego, CA

1639423338

MR. IDC Ray Martinez

Individual

11275 Paseo Montanoso

Apt 239

San Diego, CA

1134473820

MR. IDC Jason Lee Galleguillos

Individual

2917 C St

Unit 187

San Diego, CA

1639413230

Andres Felipe Caldas

Individual

1052 Dennery Rd

San Diego, CA

1265776868

Ted Casillan Gutierrez

Individual

10226 Bordelon St

San Diego, CA

1780928168

IDC Jeremiah Clyde Sawyer

Individual

4050 Surface Navy Blvd

Mudsu One Det-1

San Diego, CA

1255675690

MR. IDC Spencer David Forward

Individual

6542 Reflection Dr

Apt# 1239

San Diego, CA

1407190846

MR. Josemari Alonso Montes SR.

Individual

34101 Farenholt Ave

Bldg 14

San Diego, CA

1215271523

MR. Christopher Matthew Dewey

Individual

34101 Farenholt Ave

Bldg 14

San Diego, CA

1588908891

IDC Nathaniel Eric Sweat

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1831433143

MRS. IDC Erin Marie Best

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1386988699

IDC Kyle Whiteman

Individual

3401 Farenholt Ave

Building 14

San Diego, CA

1376887687

IDC Ryan Clay Clemons

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1427393636

MR. IDC Raymond Lee Bedard

Individual

3401 Farenholt Ave

Bldg 14

San Diego, CA

1790020626

MR. IDC Ryan Thomas Campbell

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1376888743

IDC Jessica Megan Bova

Individual

34800 Bob Wilson Dr

San Diego, CA

1609111079

IDC Sheena O Hinds

Individual

34800 Bob Wilson Dr

San Diego, CA

1417293796

MR. IDC Christopher Lee Wilkins

Individual

34101 Farenholt Ave Bldg 14

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