Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3

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Independent Duty Corpsman Providers

NPI Name Type Address

1679851364

MR. IDC Carlos Antony Rodriguez

Individual

92- 958 Panana Street

Unit 22

Kapolei, HI

1891052361

Jay Domingo

Individual

92-530 Palailai St

Kapolei, HI

1518603976

Eric Johnson

Individual

1 Coral Sea St

Kapolei, 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