Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 13

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Independent Duty Corpsman Providers

NPI Name Type Address

1033196597

IDHS Kevin Joseph Bishop

Individual

U.s. Coast Guard, 2100 2nd St Sw

Suite 5314

Washington, DC

1033138896

HEALTH SERVICE TECH Brian A Richardson

Individual

2100 2nd Street South West

Washington, DC

1710020763

MR. NREMT Ryan Michael Gauger

Individual

Comdt Cg-1122 Us Coast Guard

2100 2nd St Sw Suite 5314

Washington, DC

1821137449

Darin William Schneider

Individual

2100 2nd St Sw

Washington, DC

1538340765

Rorai Greenan

Individual

Uscg Hq Comdt (cg1122)

2100 Second Street Sw

Washington, DC

1851476576

HEALTH SERVICES TECH Christine Leigh Bonifacio

Individual

Uscg Hq Comdt (cg-1122)

2100 Second St., Sw.

Washington, DC

1275502551

MR. Christopher Lee Brey

Individual

Bureau Of Medicine And Surgery

2300 E Street, Nw

Washington, DC

1013097674

James C. Morgan

Individual

Comdt (cg-1122), U.s. Coast Guard 2100 2nd St Sw

Suite 5314

Washington, DC

1083868186

MR. CORPSMAN Michael Stephen Lackney

Individual

Dthc Arlington Navy Annex Clinic

F.o.b. #2 Room 1323

Washington, DC

1760451520

MR. Ralph Sanchez

Individual

5801 Army Pentagon

Washington, DC

1811245772

MRS. IDC Delita Danyelle Shields

Individual

915 N St Se

Building: 175

Washington, DC

1912359548

MS. IDC Jessica Lee Nash

Individual

5811 Army Pentagon # 8

Washington, DC

1245976158

NRP, IDHS Chad Gustafson

Individual

1650 17th St Nw

Washington, DC

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