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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245644566

IDC Craig Richmond

Individual

9895 Erma Rd

102

San Diego, CA

1982018164

IDC Erich Mcswain Weber

Individual

3455 Kearny Villa Rd

Apt 157

San Diego, CA

1801201462

IDC Robert Allen Hooffstetter

Individual

2424 Rendova Rd

Suite 156

San Diego, CA

1902211634

Anthony Clark

Individual

2424 Rendova Rd

San Diego, CA

1154736395

MISS IDC Bianca Lefaye Mcqueen

Individual

34800 Bob Wilson Dr

Naval Medical Center

San Diego, CA

1467867291

Eric Weber

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1295142974

Renee Hotchkiss

Individual

Naval Station San Diego

San Diego, CA

1518374719

Matthew Bauer

Individual

3055 Minuteman St

San Diego, CA

1104235431

MR. IDC Michael Leenard Shepherd

Individual

8266 Station Village Ln Apt 2601

San Diego, CA

1366841249

IDC Jason Michael Bebo

Individual

2446 Trident Way Bldg 613

San Diego, CA

1437550696

IDC Jessica Marie Ramos

Individual

11785 Stoney Peak Dr Apt 723

San Diego, CA

1831590850

HOSPITAL CORPSMAN Colwyn Omano Wiltshire

Individual

140 Sylvester Rd

Bldg 139

San Diego, CA

1932509478

IDC Melanie Ann Jones

Individual

34101 Farenholt Ave

San Diego, CA

1518368398

Jennifer Guerrero

Individual

34101 Farenholt Avenue, Building 14

Surface Warfare Medical Institute

San Diego, CA

1447652508

MR. IDC Matthew Nolen

Individual

2718 Belknap Cir

San Diego, CA

1396147468

SURFACE IDC Anthony Trevor Chenot

Individual

8236 Station Village Ln

Apartment 1809

San Diego, CA

1407258585

IDC William Schleisman

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1689076374

IDC Monica Adriana Valdez

Individual

5978 Roanoke St

San Diego, CA

1619372422

Natashia Libby

Individual

2446 Trident Way

San Diego, CA

1992100911

IDC Justin Benton Daugherty

Individual

3124 Salmon St

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