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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1992241228

IDC Phillip Lawernce Hardy SR.

Individual

123 Trout Ave

Naval Undersea Medical Institiute

Groton, CT

1891229472

MR. IDC Nicholas Manjarrez

Individual

159 Trout Avenue

Naval Undersea Medical Institute

Groton, CT

1932622230

IDC Anthony J Gervasi

Individual

159 Trout Ave

Groton, CT

1750804050

Adam S Green

Individual

159 Trout Ave

Groton, CT

1396268595

IDC Andrew Azevedo

Individual

159 Trout Ave

Groton, CT

1205359494

IDC Joseph Lampert

Individual

159 Trout Ave

Groton, CT

1790208882

MR. George Charles Fricke

Individual

159 Trout Ave

Groton, CT

1013430016

Ivan Leavitt Brown

Individual

159 Trout Avenue

Subase New London

Groton, CT

1508361551

IDC Chad S Singer

Individual

Naval Undersea Medical Institute

159 Navsubase Nlon

Groton, CT

1689179640

David Saunders

Individual

159 Navsubase Nlon

Groton, CT

1487159448

Michael Romero

Individual

Naval Undersea Medical Institute

159 Navsubase Nlon

Groton, CT

1639675341

MR. Christopher M Franklin

Individual

Naval Undersea Medical Institute

Groton, CT

1144715350

IDC Robert James Jones

Individual

159 Trout Ave

Groton, CT

1033604244

IDC Brent Deangelo Hammond

Individual

159 Trout Ave

Groton, CT

1861975666

SUB IDC Hamilton Arenas

Individual

1 Wahoo Ave

Groton, CT

1033692835

IDC William Don Murphy III

Individual

1 Wahoo Ave

Groton, CT

1588147383

SUBMARINE IDC, USN Joshua Dubbs

Individual

1 Wahoo Ave

Groton, CT

1114400918

SUB IDC Nicholas Gregory Watters

Individual

1 Wahoo Ave

Groton, CT

1063995637

Vanessa Poland

Individual

1 Wahoo Ave

Groton, CT

1811462096

IDC Howard E Pratt

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689