Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 44

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Independent Duty Corpsman Providers

NPI Name Type Address

1174591903

MR. Hector Luis Ortiz II

Individual

5959 Fort Caroline Rd

Apt 3104

Jacksonville, FL

1922061142

IDC Robert Todd Powell

Individual

14090 Crestwick Dr E

Jacksonville, FL

1598987935

MS. IDC Debra A Lancaster

Individual

13201 Companion Ct

Jacksonville, FL

1619189198

MR. IDC Joseph Lionel Rivas SR.

Individual

2080 Child St

Jacksonville, FL

1528274438

IDC Francisco Javier Hernandez Iglesias

Individual

2080 Child St

Jacksonville, FL

1922076827

MR. IDC Dion Ericson Blake

Individual

Uss John L. Hall

Fpo Aa 34091

Jacksonville, FL

1609049766

Paris Dunomes

Individual

2080 Child St

Jacksonville, FL

1386810422

IDC Bufford Christopher Dotson JR.

Individual

Naval Hospital 2080 Child St

Jacksonville, FL

1093967044

MR. IDC John Christopher Sims

Individual

2080 Child St

Jacksonville, FL

1447403274

MR. IDC Eugene Johnson

Individual

2080 Child St

Naval Air Station

Jacksonville, FL

1063476257

IDC Michael James Holmes

Individual

Naval Hospital Jacksonville

Attention Emergency Department

Jacksonville, FL

1962661363

Gerald Derand Jackson

Individual

2104 Massey Ave

Jacksonville, FL

1639387350

MR. IDC Christopher Anthony Trivino

Individual

2005 Knight Lane

Bldg.h Navy Medicine Support Command, Attn: Mssd

Jacksonville, FL

1851433411

David Joshua Mayer

Individual

6213 Aviation Ave

Uscg Hitron6213 Bldg 1846

Jacksonville, FL

1770805954

IDC James Ryan Pitts

Individual

2005 Knight Lane

Bldg. H Navy Medicine Support Command

Jacksonville, FL

1902114960

Glen King

Individual

Bldg H. 2005 Knight Lane

Navy Medicine Support Command

Jacksonville, FL

1548552201

MR. IDC Wasim S Mohamed

Individual

2104 Massey Ave

Jacksonville, FL

1699060525

MR. IDC Noel Antonio Martinez

Individual

2104 Massey Ave

Jacksonville, FL

1679540645

IDC Samuel Thomas Gilliland

Individual

Naval Hospital Jacksonville

2080 Child St

Jacksonville, FL

1346586880

MR. Aaron A Johnson

Individual

10636 Wild Azalea Ct

Jacksonville, FL

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