Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Nathan Cory Dyal |
Individual |
3385 Sterett Pl San Diego, CA |
|
|
Matthew Alan Werth |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
David Boggia |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Jason Kyle Berry |
Individual |
14 Farenholt Ave San Diego, CA |
|
|
IDC Matthew Ian Honan |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Ciaran Lambert |
Individual |
34101 Farenholt Ave # 14 San Diego, CA |
|
|
Tyler James Whitt |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Nicole Patrice Mattera |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Elizani Bayardo |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Christopher Javier Camacho |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Christopher Allan Walker |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Charles Ramirez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Peter Wysocki JR. |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. Michael Christian Barnes |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
Jacob Mayhall |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Juan Arce JR. |
Individual |
348000 Bob Wilson Dr San Diego, CA |
|
|
Robert Alan Major |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Claudy Joseph Toussaint |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Taylor Scott Larson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. Matthew Hart |
Individual |
3400 Bob Wilson Drive 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 |