Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 17
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Wayne Carleton Johnson |
Individual |
Naval Hospital Box 788250 Twentynine Palms, CA |
|
|
MR. IDC Felizardo Bacaro Tria |
Individual |
1145 Sturgis Street Naval Hospital Twentynine Palms, CA |
|
|
MR. IDC Corey Mitchell Miller |
Individual |
Naval Hospital Twentynine Palms Bldg 1145 Sturgis St. Twentynine Palms, CA |
|
|
MR. IDC Rodney Scott Ruth JR. |
Individual |
Bldg 1145 Sturgis Street Twentynine Palms, CA |
|
|
IDC Joseph Solon Richey |
Individual |
Bldg 1145 Sturgis Street Naval Hospital Attn Professional Affairs Twentynine Palms, CA |
|
|
MR. IDC Adrian Leslie Robinson JR. |
Individual |
3500 Berkeley Court B Twentynine Palms, CA |
|
|
IDC Roselyn Drapiza Ilanga |
Individual |
Marine Corps Air Ground Combat Center Twentynine Palms, CA |
|
|
MR. IDC Philip A. Rice |
Individual |
Building 2000 Mcagcc Clb-7 Bas Twentynine Palms, CA |
|
|
MR. Jesse John Tossetti |
Individual |
6591 49 Palms Ave Twentynine Palms, CA |
|
|
IDC Lejon J Jenkins |
Individual |
6555 Bullion Ave Unit B Twentynine Palms, CA |
|
|
IDC Alonzo Jamelle Shields |
Individual |
Regimental Aid Station 7th Marine Hq Ras Twentynine Palms, CA |
|
|
Willie J. Crawford JR. |
Individual |
1145 Sturgis Rd Twentynine Palms, CA |
|
|
Alex Rubang |
Individual |
1659 7th St Twentynine Palms, CA |
|
|
IDC Erric Leif Apeland |
Individual |
1436 Third Street Mcagcc Twentynine Palms, CA |
|
|
Joshua Bellavia |
Individual |
Commanding Officer Naval Hospital Twentynine Palms Attn: Joshua Bellavia Box 788250 Twentynine Palms, CA |
|
|
Mikhailpietro Drilon |
Individual |
3rd Lar Battalion Twentynine Palms, CA |
|
|
Omar Kareem Dalton |
Individual |
1145 Sturgis Rd Twentynine Palms, 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 |