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

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Independent Duty Corpsman Providers

NPI Name Type Address

1235469644

MR. IDC George K Grant

Individual

195 Michelle Ln

Apt 304

Groton, CT

1396061933

MR. IDC Andrew D. Bickham

Individual

159 Trout Avenue

Groton, CT

1144546847

MR. IDC Benjamin John Grover

Individual

159 Trout Avenue

Groton, CT

1790752111

MR. IDC Randall Frederick Dierking JR.

Individual

1 Wahoo Ave

Undersea Medicine

Groton, CT

1487962296

MR. IDC Richard R Tapia

Individual

32 Arrowood Dr

Groton, CT

1982912903

MR. IDC Jeremiah Loius King

Individual

141 Dewey Ave

Groton, CT

1972813616

IDC Jeffrey Alan Klimczak

Individual

159 Trout

Groton, CT

1881997815

MR. IDC Tristan J Thomas

Individual

116 Driftwood Cir

Groton, CT

1134422165

MR. IDC Darby Francis Meagher

Individual

90 Georgia St

Groton, CT

1649578915

SUB IDC Andre Jerome Marin

Individual

17 Cypress Ln

Groton, CT

1912299157

MR. IDC Adam Clinton Ray

Individual

163 Ledgewood Rd

Apt 405

Groton, CT

1710199666

MR. IDC Mark Haley Johnson

Individual

Nlon Medical Department Bldg 76

Naval Submarine Base

Groton, CT

1437441532

MR. IDC Matthew John Mitchell

Individual

138 Burningtree Dr

Groton, CT

1821380502

MR. IDC Anthony Joseph Okrie

Individual

378 Burningtree Dr

Groton, CT

1043502701

MR. SUBMARINE IDC Norman Steven Reeves

Individual

159 Trout Ave.

Groton, CT

1194003236

IDC Michael Anthony Bindner

Individual

28 Arrowood Drive

Groton, CT

1205115854

MR. IDC Romualdo Humarang JR.

Individual

43 Burningtree Dr

Groton, CT

1104105568

MR. IDC Matthew Cody Mcneely

Individual

96 Michigan Drive

Groton, CT

1053692657

MR. Jose Luis Delgado III

Individual

244 Ohio Ave

Groton, CT

1629345368

MR. IDC Christopher Daniel Garner

Individual

108 Deerwood Dr

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