Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 140
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Michol Ranada |
Individual |
67 Poplar Rd Groton, CT |
|
|
MR. IDC Philip Leslie Oppliger |
Individual |
157 Trout Ave Naval Undersea Medical Institute Groton, CT |
|
|
MR. Joseph John May |
Individual |
159 Trout Blvd Groton, CT |
|
|
MR. IDC Jonathon Wayne Waite |
Individual |
159 Trout Ave Groton, CT |
|
|
Carl Branyon Coker |
Individual |
91 Hornbeam Rd Groton, CT |
|
|
Leonardo Lewis Farin-medina |
Individual |
159 Trout Ave, Bldg. 86 Numi, Naval Submarine Base, New London Groton, CT |
|
|
INDEPENDENT DUTY HM Dennis Buenaventura Custodio |
Individual |
69 Trout Ave Naval Undersea Medical Institute Groton, CT |
|
|
MR. IDC Dennis Raymond Sanders JR. |
Individual |
67 Hornbeam Rd Groton, CT |
|
|
Felipe Rios |
Individual |
41 Magnolia Dr Groton, CT |
|
|
IDC Manuel Lozano |
Individual |
42 Poplar Rd Groton, CT |
|
|
MR. Allyn Patrick Brown |
Individual |
36 Midway Oval Groton, CT |
|
|
Kareem Ferguson |
Individual |
8 Rhode Island Ln Groton, CT |
|
|
IDC Ryan Matthew Woody |
Individual |
25 Broad Street Ext Apt B3-4 Groton, CT |
|
|
Keith Maurice Connor II |
Individual |
Naval Undersea Medical Institute Box 159 Subase Nlon Groton, CT |
|
|
IDC John Allan Connors |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
|
|
MR. IDC Michael Charles Stewart JR. |
Individual |
159 Trout Avenue Groton, CT |
|
|
MR. Dien Tang |
Individual |
159 Trout Avenue Groton, CT |
|
|
I.D.C. Joseph Robert Raska |
Individual |
100 Michigan Dr Groton, CT |
|
|
MR. IDC David Thomas Wright |
Individual |
1 Wahoo Ave Bldg 449 Groton, CT |
|
|
SUB IDC John David Clelland III |
Individual |
1 Wahoo Ave 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...
| 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 |