Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 11
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Jeffrey Douglas Fisher |
Individual |
2709 Apt A Cushman Ave Kailua, HI |
|
|
IDC Conrado Obias Manganti JR. |
Individual |
2073b Campion Dr Kailua, HI |
|
|
IDC Mark Alan Schuchard |
Individual |
4182 Hamehame St Kailua, HI |
|
|
IDC Alex Joseph Valencia |
Individual |
3005 Glen Cove Kailua, HI |
|
|
IDC Timothy Layton |
Individual |
1016 Ulupau Loop Kailua, HI |
|
|
Carlos Bolivar Panchana |
Individual |
D St #3089 Kailua, HI |
|
|
MR. David Jason Brown |
Individual |
6255 Kaawa St Kailua, HI |
|
|
MR. IDC Joseph Frabotta |
Individual |
6894r Mokapu Rd Kailua, HI |
|
|
IDC STUDENT Joseph Martinez |
Individual |
Marine Corps Base Hawaii (mcbh) Bldg 221 Kailua, HI |
|
|
Kyle James Pederson |
Individual |
6905 Harris Ave Kailua, HI |
|
|
MR. IDC James Sotto Martin II |
Individual |
Bldg. 6905 Harris Ave Kailua, 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...
| 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 |