Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Amy Housley |
Individual |
1617 Chalmers St San Diego, CA |
|
|
IDC Renaldo Campbell |
Individual |
2840 Durham Ridge Pl San Diego, CA |
|
|
Michael Peters |
Individual |
2830 Tuscaloosa St San Diego, CA |
|
|
Matthew Nowak |
Individual |
34800 Bob Wilson Dr Swmi San Diego, CA |
|
|
MR. IDC Dwight Hunter Koontz II |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
MR. SFIDC Ricardo Alejandro Ortiz JR. |
Individual |
Naval Medical Center San Diego 34800 Bob Wilson Dr. San Diego, CA |
|
|
Shundryia Walker |
Individual |
2770 Korink Ave San Diego, CA |
|
|
MR. Cory Shane Hopper |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. Carlton Anthony Dyke |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Casey Steele |
Individual |
Surface Warefare Medical Institute 34101 Farenholt Avenue, Building 14 San Diego, CA |
|
|
IDC Paul Alexander Mitchell |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDC Tyler Kormos |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Don Rodriguez |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Avenue, Building 14 San Diego, CA |
|
|
Marco Olivarez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. Eloy Rodriguez II |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Andrew Haston |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Megan B Anderson |
Individual |
2051 Cushing Rd Bldg 624 Nbhc Ntc, San Diego, CA |
|
|
Andrew Davidson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Trevor Joe Larson |
Individual |
2348 Trident Way San Diego, CA |
|
|
Alan Aaron |
Individual |
34101 Farenholt Ave Building 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...
| 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 |