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

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Independent Duty Corpsman Providers

NPI Name Type Address

1629033907

MR. Morrell J Lavender

Individual

2650 Stockton Rd Bldg 624

Naval Training Center

San Diego, CA

1376751917

Michael Clark

Individual

140 Sylvester Rd

San Diego, CA

1235309758

IDC Allan Dinoso Felicano

Individual

Bldg 601 Mccaine Blvd

Branch Medical Clinic

San Diego, CA

1023073194

MR. Enrique Escapolar Dedios JR.

Individual

34800 Bob Wilson Dr

San Diego, CA

1417129370

MR. IDC Donald Reid Rosario

Individual

35000 Guadalcanal Ave

Bldg 596

San Diego, CA

1053584540

MR. IDC Craig Charles Rosario

Individual

Mcas Bmc Miramar

Bldg 2496, Bauer Rd.

San Diego, CA

1770757254

IDC Christian P Patchin

Individual

34800 Bob Wilson Dr

San Diego, CA

1982810883

MS. IDC Robyn Marie Pierce

Individual

4417 Mount Everest Blvd

San Diego, CA

1043247091

MR. IDC Jason Thomas William Tetzlaff

Individual

3402 Tarawa Rd

Sbt-12

San Diego, CA

1124293477

IDC Erin Elizabeth Sutherland

Individual

35000 Guadalcanal

San Diego, CA

1366618183

MR. IDC US NAVY Roberto Judas Canton

Individual

35000 Guadacanal St

Bmc Mcrd Bldg 596

San Diego, CA

1144496670

MR. IDC Tijani Bamidele Abdulsalam

Individual

2450 Craven St

San Diego, CA

1043486418

MR. IDC Joshua David French

Individual

2450 Craven St

San Diego, CA

1447426663

MR. IDC James E Cook

Individual

35000 Guadalcanal St

Branch Medical Clinic Mcrd

San Diego, CA

1538120068

U.s. Navy

Organization

34800 Bob Wilson Dr

San Diego, CA

1588822605

SFIDC Benedicto Vicencio Manalansan

Individual

2240 Spring Oak Way

San Diego, CA

1053579821

MR. IDC Jesus A Quinonez

Individual

34730 Bob Wilson Dr

San Diego, CA

1780842419

IDC Michael Roger Barnhart

Individual

Nolf Bldg 169

San Diego, CA

1801054465

MR. SFIDC Terry D Green

Individual

34800 Bob Wilson Dr

San Diego, CA

1356509970

IDC Richard Power

Individual

34800 Bob Wilson Dr

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