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

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Independent Duty Corpsman Providers

NPI Name Type Address

1558500090

IDC Sean Patrick Overlie

Individual

2496 Bauer Rd.

Bmc Mcas Miramar

San Diego, CA

1508006149

MRS. IDC Kathy Rebecca Sullivan

Individual

Msron Five Medical Department

Nolf Ib Building 169

San Diego, CA

1396988184

IDC Michael Joseph Sam

Individual

Swrmc 3601 Womble St

San Diego, CA

1124253208

MR. INDEPENDENT DUTY COR Rodolfo Guerrero

Individual

2051 Cushing Rd

San Diego, CA

1811122393

IDC Jason L Brock

Individual

2534 Trident Way

San Diego, CA

1316172752

IDC Jeremy L. West

Individual

2534 Trident Way

San Diego, CA

1407082969

MR. SFIDC Curtis Vincent Stoughton

Individual

34101 Farenholt Ave

San Diego, CA

1699901181

IDC James M Allan

Individual

34101 Farenholt Ave

San Diego, CA

1376773200

INDEPENDENT DUTY COR John William Buehrer

Individual

34101 Farenholt Ave

San Diego, CA

1457584112

MR. IDC Ralph Duron

Individual

601 Mccain Blvd

San Diego, CA

1467785907

MR. HM1 David Fisher

Individual

140 Sylvester Rd

San Diego, CA

1841525789

IDC Ioana Lee Dunkley

Individual

Swmi Idc School

34101 Farenholt Ave

San Diego, CA

1194050922

IDC Cristi Anne Hallock

Individual

3292 Norman Scott Rd Ste 7

San Diego, CA

1033366232

MR. Jason William Beckford

Individual

Naval Medical Ctr

34800 Bob Wilson Drive

San Diego, CA

1245498484

MR. NAVY IDC Gerald Lee Fitzgerald JR.

Individual

Surface Warfare Medicine Institute

3401 Farenholt Avenue

San Diego, CA

1467784314

IDC Bernard Spraggins

Individual

140 Sylvester Rd

Building 5

San Diego, CA

1023330453

IDC Randall Bruce Durgin

Individual

3325 Senn Rd

Bldg 55 Medical Dept

San Diego, CA

1760579577

IDC Darrell Timpa

Individual

Swmi

34101 Farenholt Ave

San Diego, CA

1720226160

MR. SFIDC Kimo Greg Lee

Individual

Bld 601 Mccain Bldg

Branch Medical Clinic Naval Base Coronado

San Diego, CA

1326367764

MR. IDC Matthew James Finley

Individual

2348 Trident Way

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