Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Michael Thomas Short |
Individual |
15034 Avenida Montuosa Apt B San Diego, CA |
|
|
Felicia Wall |
Individual |
5906 Rancho Mission Rd Unit 26 San Diego, CA |
|
|
Kyle Vinzant |
Individual |
6039 Dove Flower Way San Diego, CA |
|
|
SFIDC Ryan Yohn |
Individual |
3027 Taussig St San Diego, CA |
|
|
MR. David Kane |
Individual |
5309 Canterbury Dr San Diego, CA |
|
|
MR. SFIDC Ryan Jaime |
Individual |
10191 Hooper St San Diego, CA |
|
|
MR. IDC Kim Magadia Suarez |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Shane Worland |
Individual |
Naval Medical Ctr 34800 Bob Wilson Drive San Diego, CA |
|
|
Justin Lee Wright |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDC Shawn Neil |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Timothy R Bleigh |
Individual |
Naval Medical Center San Diego 34800 Bob Wilson Drive San Diego, Ca 92134 San Diego, CA |
|
|
IDC Emmanuel Pineda |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
I.D.C. Anthony Leveque JR. |
Individual |
1780 Truxtun Rd San Diego, CA |
|
|
MR. IDC Maurice Fernandez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Gilbert Roman |
Individual |
Uss Vandegrift Ffg 48 Naval Station 32nd St San Diego, CA |
|
|
MR. IDC James Morson |
Individual |
3205 Attu Rd San Diego, CA |
|
|
Stephen Bates |
Individual |
Naval School Of Health Sciences 34101 Farenholt Ave San Diego, CA |
|
|
Christopher Shumway II |
Individual |
2642 Trident Way San Diego, CA |
|
|
MR. IDC Christopher James Tilley |
Individual |
2450 Craven St Bldg 3300 San Diego, CA |
|
|
MR. EMT, IDC Edward F Nelson |
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...
| 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 |