Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 44
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Tiffany Ann Salveson |
Individual |
938 Patrol Rd Bldg 938 Jacksonville, FL |
|
|
Kang Kim |
Individual |
2080 Child St Jacksonville, FL |
|
|
Joshua Kitchens |
Individual |
9922 Moss Side Ln Jacksonville, FL |
|
|
Clayton Pascik |
Individual |
Bldg 1488 Massey Ave. Jacksonville, FL |
|
|
IDC Joshua D Drew |
Individual |
975b Eldorado St Jacksonville, FL |
|
|
MR. SFIDC David Morales JR. |
Individual |
2480 Bon Hommes Richard St Naval Station Mayport Jacksonville, FL |
|
|
MR. IDC Aaron Patrick Morrow |
Individual |
6033 Caladesi Ct Jacksonville, FL |
|
|
MR. IDC Steven Lee Undheim |
Individual |
2080 Child St Jacksonville, FL |
|
|
IDC Derrick Lavar Raysor |
Individual |
2104 Massey Ave Jacksonville, FL |
|
|
IDC James Ernest Claypool |
Individual |
12411 Glenn Hollow Dr Jacksonville, FL |
|
|
IDC Alberto Kris Cipollone |
Individual |
Bon Homme Richard Ave Bldg 2480 Jacksonville, FL |
|
|
SFIDC Cheryl Lynne Parker |
Individual |
Bon Homme Richard Street Bldg #2480 Jacksonville, FL |
|
|
Huriel A Rivera Aponte |
Individual |
Naval Station Mayport Surflant Medical Readiness Division Detachment Mayport Jacksonville, FL |
|
|
MR. IDC Alexander Christian Erickson |
Individual |
Uss Sioux City (lcs 11) (gold) 2480 Bon Hommes Richard Street Jacksonville, FL |
|
|
IDC Franklin Paul Mccullough |
Individual |
Bon Homme St Bldg 2480 Jacksonville, FL |
|
|
IDC Alanna Gonzalez |
Individual |
1453 Lindseys Crossing Dr Jacksonville, FL |
|
|
MR. SFIDC Tomas Edward Camblor |
Individual |
Lcsron2 Bon Homme Richard Street Building #2480 Jacksonville, FL |
|
|
MR. IDC Michael Shane Vogel |
Individual |
2480 Bon Hommes Richard Street Jacksonville, FL |
|
|
Luis Figueroa |
Individual |
Lcsron Two 2480 Bonhomme Richard St Jacksonville, FL |
|
|
IDC Gregory Donald Willden |
Individual |
Bon Homme Richard St Bldg 2480 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...
| 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 |