Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 140

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Independent Duty Corpsman Providers

NPI Name Type Address

1639147606

MR. David Andrew Peterson JR.

Individual

Nomi Det Numi Submarine Base Nlon

Building 159

Groton, CT

1588631014

SFIDC Roy L Underwood

Individual

1 Wahoo Ave

Groton, CT

1568439594

John Reed

Individual

141 Trout Ave

Navsubase Nlon

Groton, CT

1912941980

IDC Jeffrey Lynn Mcgregor

Individual

1 Wahoo Ave

Undersea Medicine

Groton, CT

1023021748

HM1 David Weldon Himes

Individual

Naval Undersea Medical Institute

Bldg 159

Groton, CT

1003931163

NAVY IDC Joshua O Balter

Individual

1 Wahoo Ave

Subase Nlon

Groton, CT

1023133832

IDC Jared E. Akers

Individual

1 Wahoo Drive

Subace Nlon

Groton, CT

1619153285

IDC Daniel Curtis Roberts

Individual

159 Trout Ave

Groton, CT

1760668792

MR. Mark Mammoth

Individual

1 Wahoo Drive

Naval Branch Health Clinic

Groton, CT

1609053610

MR. Karl Frederick Schriever

Individual

1 Wahoo Drive

Naval Branch Health Clinic

Groton, CT

1780882738

IDC Michael Nutt

Individual

Bldg 517 Taugtog Ave

Navsubscol

Groton, CT

1942245014

IDC US NAVY Charles Scott Vancuren

Individual

73 Eastern Point Road

Uss Missouri Ssn 780

Groton, CT

1841452703

MR. HMC SS FMF IDC Brandon Lyle Lindbeck

Individual

Naval Unsersea Medical Institute 159 Trout Ave

Navsubase Nlon

Groton, CT

1356318331

Michael Napolitano

Individual

Building 76 2nd Deck Naval Submarine Base Nlon

Naval Submarine Support Center Groton

Groton, CT

1881843084

MR. HMC Mark Francis Jarvis

Individual

Nssc Nlon

Bldg 76

Groton, CT

1821248550

IDC Aaron Prestelle Mcknight

Individual

4 Buckeye Rd

Groton, CT

1396804621

IDC David Wayne Ballard

Individual

Naval Undersea Medical Institute

Submarine Base

Groton, CT

1245479708

David Farque

Individual

124 Locust Cir

Groton, CT

1467789933

Frederick M Lomasney III

Individual

1 Wahoo Ave

Groton, CT

1770810822

MR. IDC Aaron David Levy

Individual

Naval Undersea Medical Institute 159 Trout Ave

Navsubase Nlon

Groton, CT

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...

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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
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Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689