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

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Independent Duty Corpsman Providers

NPI Name Type Address

1871870881

MRS. IDC Kristilynn Badillo

Individual

34101 Farenholt Ave

San Diego, CA

1740567023

Oliver Hipolito Banal

Individual

34101 Farenholt Ave

San Diego, CA

1992082176

Amiel I Fredeluces

Individual

34101 Farenholt Ave

San Diego, CA

1205113438

MR. IDC Anderson Strickland

Individual

34101 Farenholt Ave

San Diego, CA

1053570168

MR. IDC Ismael Flores

Individual

Pcu Michael Murphy

3380 Sturtevant St Suite 2

San Diego, CA

1407123144

SFIDC Sean Patrick Mchugh

Individual

34101 Farenholt Ave

San Diego, CA

1013284504

SFIDC Rion O'nay Tyler

Individual

Surface Warfare Medicine Institute 34101 Ave

Building 14

San Diego, CA

1407123870

MS. IDC Socorro Ramirez Huynh

Individual

34101 Farenholt Ave

San Diego, CA

1811264278

IDC Heather Lynne Eisenhardt

Individual

34101 Farenholt Ave

San Diego, CA

1861763328

MR. IDC John Curtis Crockett

Individual

34101 Farenholt Ave

San Diego, CA

1932470374

IDC Robert Bishop Beedles JR.

Individual

3380 Sturtevant St

Bldg 57 Second Floor

San Diego, CA

1275804999

MR. IDC Nicholas Michael Lee

Individual

34101 Farenholt Ave

San Diego, CA

1508139171

SWIDC Christian T. Hans

Individual

6115 Fauna Dr

San Diego, CA

1821361361

MS. IDC Courtney Latrice Johnson

Individual

34101 Farenholt Ave

San Diego, CA

1386939056

MR. IDC Castor Jose Gutierrez

Individual

34101 Farenholt Ave

San Diego, CA

1487928057

MR. IDC Mitchel Grande Deguzman

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1508130030

MISS IDC Shavion Bates

Individual

34101 Farenholt Ave

San Diego, CA

1285908400

Amy E Clewis

Individual

3920 Leland St Apt F3

San Diego, CA

1679848626

IDC Jose Alberto Rodriguez

Individual

33000 Nixie Way

Bldg 50 Suite 245

San Diego, CA

1033485750

IDC Daniel Williams

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