Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 140
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Robert Fitzgerald Burgos |
Individual |
Submarine Naval Base New London Box 159 Groton, CT |
|
|
Jason Fekete |
Individual |
159 Trout Ave Naval Undersea Medical Institute Box 159 Navsubase Nlon Groton, CT |
|
|
James Lawlor |
Individual |
1 Crystal Lake Rd Naval Undersea Medical Institute Bldg 159 Groton, CT |
|
|
Austin Beaudean Lenzi |
Individual |
159 Trout Ave Groton, CT |
|
|
Aaron Anderson |
Individual |
111 Buckeye Rd Groton, CT |
|
|
MR. Davin Nicolas Laurell |
Individual |
50 Warner St Groton, CT |
|
|
MR. IDC Martin Allen Shepherd |
Individual |
36 Deerwood Dr Groton, CT |
|
|
IDC Richard B Jaremback |
Individual |
368 Pelican Dr Groton, CT |
|
|
MR. IDC Matthew Kermit Lee |
Individual |
465 Trout Ave Numi Groton, CT |
|
|
IDC Zachary Jay Camechis |
Individual |
177 Hornbeam Rd Groton, CT |
|
|
IDC Kenneth Aloka Waugh |
Individual |
151 Burningtree Dr Groton, CT |
|
|
Kennedy Onditi |
Individual |
8 Deerwood Dr Groton, CT |
|
|
IDC Christine Moore |
Individual |
200 Michelle Ln Apt 310 Groton, CT |
|
|
IDC Prudencio Cupat Sy |
Individual |
Bldg 159 Navsubase Nlon Naval Undersea Medical Institute Groton, CT |
|
|
United States Navy |
Organization |
1 Crystal Lake Rd Bldg 159 Naval Undersea Medical Inst. Navsubase Nlon Groton, CT |
|
|
Kevin Bradley |
Individual |
1 Wahoo Ave Groton, CT |
|
|
IDC Nicholas Mihalecz |
Individual |
2 Cole St Groton, CT |
|
|
Kevin M Harding |
Individual |
193 Charter Oak Dr Groton, CT |
|
|
Matthew Thompson |
Individual |
58 Hornbeam Rd Groton, CT |
|
|
MR. IDC Michael Dean Couch |
Individual |
159 Trout 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 |