Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 140
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
SUBMARINE IDC Marcelino Alvarez |
Individual |
Uss Montpelier Ssn 765 Groton, CT |
|
|
Cody Eugene Shaw |
Individual |
Numi Trout Ave Building 83 Groton, CT |
|
|
Derek James Hale |
Individual |
Fc 83 Numi Trout Ave Groton, CT |
|
|
MR. IDC Joshua Darren Savage |
Individual |
35 Chrissos St Groton, CT |
|
|
IDC Ermelinda Elaine Alviso |
Individual |
Trout Ave Groton, CT |
|
|
MR. IDC Cameron Anson Martin |
Individual |
1 Wahoo Ave Groton, CT |
|
|
IDC Hector Salvador Gonzalez |
Individual |
2 Bushnell St Groton, CT |
|
|
SUBMARINE IDC Christopher Lee Roy Smith |
Individual |
Uss San Juan (ssn 751) Groton, CT |
|
|
SUBMARINE IDC Lonnie Jay Reardon |
Individual |
55 South Rd Apt 12c Groton, CT |
|
|
MR. IDC Kenny Daniel Harp |
Individual |
59 Deerwood Dr Groton, CT |
|
|
IDC Russell Jennings Rider |
Individual |
159 Trout Ave Groton, CT |
|
|
U.s. Navy |
Organization |
Box 159 Navsubasenlon Naval Undersea Medical Institute Groton, CT |
|
|
SUBMARINE IDC Daniel Rene Villela |
Individual |
166 Arrowood Dr Groton, CT |
|
|
SUBMARINE IDC Christopher David Burley |
Individual |
1 Wahoo Ave Groton, CT |
|
|
MILITARY (IDC) Jared F Hart |
Individual |
Submarine Readiness Squadron 32 Building 87 Naval Submarine Base New London Groton, CT |
|
|
MR. Bradford W Vogel II |
Individual |
60 Buckeye Rd Groton, CT |
|
|
Michael Burton |
Individual |
84 Charter Oak Dr Groton, CT |
|
|
MR. John William Vandal |
Individual |
68 Burningtree Dr Groton, CT |
|
|
IDC Luis Riverabarrera |
Individual |
159 Trout Ave Groton, CT |
|
|
IDC Derek Calloway |
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 |