Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Matthew R. Hessamfar |
Individual |
34101 Farenholt Ave # 14 San Diego, CA |
|
|
MR. IDC Zachary Adam Vargo |
Individual |
2266 Gill Village Way Apt 1113 San Diego, CA |
|
|
Kyle Lee Tillman |
Individual |
2709 Meadow Lark Dr Apt B San Diego, CA |
|
|
IDC Joseph Hunter Sampson |
Individual |
34101 Farenholt Ave #14 San Diego, CA |
|
|
Joshua Day Henderson |
Individual |
4633 Bancroft St Apt 3 San Diego, CA |
|
|
IDC Derek R Summers |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Christian B Sampson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Hosung Choi Schermerhorn |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Komi Venunye Gayakpa |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Juan Carlos Molina |
Individual |
780 Camino De La Reina Apt 141 San Diego, CA |
|
|
IDC Rocky Foster |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Evan Lewis Ridenour |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
DEEP SEA DIVE IDC Andrew Isais |
Individual |
34800 Bob Wilson Dr Naval Medical Center San Diego San Diego, CA |
|
|
MR. James Anthony Lukas III |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jaden Sandi |
Individual |
Swmi Sfidc Bldg 14 34101 Farenholt Ave San Diego, CA |
|
|
IDC Michael Trey Wix |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Kaitlin E Saucedo |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
IDC Elizabeth Ramos-rodriguez |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
Charles Luke Morris |
Individual |
1675 Beta Ct San Diego, CA |
|
|
IDC Janine Diane Pugh |
Individual |
34101 Farenholt Ave Bldg 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 |