Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 760
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SFIDC Martin Castro |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
INDEPENDENT DUTY COR Luke Jeremiah Murray |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Colin Murphy |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Zachary Haley |
Individual |
3913 Ingraham St Apt U209 San Diego, CA |
|
|
Keelan Raphael Jackson |
Individual |
34899 Bob Wilson Dr San Diego, CA |
|
|
Mitchell Heimlich |
Individual |
10142 Keppler Dr San Diego, CA |
|
|
Justo Antonio Ramirez II |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SF-IDC, CPHT, NREMT Benjamyn Lawrence Potvin |
Individual |
3400 Guadalcanal Ave San Diego, CA |
|
|
MR. SFIDC Matthew Norman Case |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Thomas William Gordon |
Individual |
34101 Farenholt Avenue Building 14 San Diego, CA |
|
|
IDC Tiffany Renee O'neal |
Individual |
1775 Oro Vista Rd Apt 194 San Diego, CA |
|
|
Jonathan Jacobs |
Individual |
3064 Taussig St San Diego, CA |
|
|
IDC John Deleon |
Individual |
5065 Monroe Ave San Diego, CA |
|
|
MS. IDC Jodi Lynn Flippo |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Philip Fabunan |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. James Christopher Radecki |
Individual |
3400 Bob Wilson Dr San Diego, CA |
|
|
Stefan George Herrstrom |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
Jonathan Lyon |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
PHYSICIAN ASSISTANT Reynaldo L Reyes JR. |
Individual |
35000 Guadalcanal St Branch Medical Clinic Marine Corps Recruit Depot San Diego, CA |
|
|
Seth Edwards |
Individual |
Surface Warefare Medical Institute Building 14, 34101 Farenholt Ave 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 |