| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SFIDC Frederick Roy Novella |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Michael Anthony Anderson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
SF IDC Brandon Earl Burke |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SF IDC Leah Scott |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
James Michael Miskimen |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Sean Ian Mckinney |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. SFIDC Tam D Nguyen |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Alexander Box |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Luke Andrew Austin |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. SFIDC Steven R Currier JR. |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Christopher Wayne Swinney |
Individual |
3401 Farenholt Ave San Diego, CA |
|
|
SFIDC Ryan James Gordon |
Individual |
9955 Pomerado Rd Bldg 20300 San Diego, CA |
|
|
IDC Alicia R Turner |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jose Gonzalez |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Patrick John Charbonneau |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Joshua Dewayne Allard |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Dejanae Hairston |
Individual |
34800 Bob Wilson Drive San Diego, CA |
|
|
IDC Martina Jones Maddox |
Individual |
857 16th St San Diego, CA |
|
|
IDC Michael Delton Bryson JR. |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Avenu San Diego, CA |
|
|
MR. IDC Dionicio Dale Brown |
Individual |
34101 Farenholt Ave San Diego, CA |
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 |