Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 14

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Independent Duty Corpsman Providers

NPI Name Type Address

1891739496

IDC Darrin Ernest Way

Individual

2821 Anderson Ave

Honolulu, HI

1902993967

MR. IDC John Thomas Diem

Individual

2275 Doris Miller Loop Apt C

Honolulu, HI

1962522128

MR. Darwin Santiago Ramos

Individual

528 Mananai Pl

Unit 16a

Honolulu, HI

1609088830

IDC Michael James Bagley

Individual

4922 Kamehameha Loop

Honolulu, HI

1073725701

MR. IDC James Payne

Individual

1956c Gillespie Cir

Honolulu, HI

1760444681

MR. IDC Joseph David Matthews III

Individual

4711 Nevada St

Honolulu, HI

1043546104

MR. SUBMARINE IDC Terrence Anthony Dugay I

Individual

5090 Likini St

East Tower Unit# 1502

Honolulu, HI

1154641371

Uss Pasadena(ssn752)

Organization

888 Murray Dr

Honolulu, HI

1174966931

IDC Darrius Anthrawe Cooley

Individual

5613 Bennion Ct

Honolulu, HI

1639502750

MR. SFIDC/8494 Shawn Wesley Lauer

Individual

545 Queen St

#639

Honolulu, HI

1700263001

MR. IDC Daniel Joseph Engelhardt

Individual

5435 Kilmer Ln

Honolulu, HI

1396218582

IDC Samantha Suzanne Pinon

Individual

1253 Makalapa Road

Honolulu, HI

1427729912

MR. IDHS Earl Joseph Garrido JR.

Individual

400 Sand Island Pkwy

Honolulu, HI

1841962636

Sabrina Renee Stanley

Individual

400 Sand Island Pkwy

Honolulu, HI

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