Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Daniel Faybik |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Adam Clay Wild |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Jason Kristopher Mitchell |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Derrek Dean Hanson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Tyson John Bradley |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Amanda Joy Lapradd |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Ryeheine Smith |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Joseph Harold Zweifel |
Individual |
4694 Shields St San Diego, CA |
|
|
Kendal Virgil Bush |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
NAVY SFIDC Michael Wayne Mcguire JR. |
Individual |
4749 67th St Apt B San Diego, CA |
|
|
IDC Joshua Grey Blanchard |
Individual |
1441 9th Ave Unit 711 San Diego, CA |
|
|
Mariela Alexander |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Ryan Layne Kaleo Johnson |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Bradley Wayne Proctor |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Kyle Andrew Taylor |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
INDEPENDENT DUTY COR Coy Dylan Parker |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Ave San Diego, CA |
|
|
IDC William Curtis Campbell |
Individual |
14, 34101 Farenholt Ave San Diego, CA |
|
|
Adam Orion Takgan Ingersoll |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Trevin Michael Lovett |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Thomas John Camacho JR. |
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 |