Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 8

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Independent Duty Corpsman Providers

NPI Name Type Address

1851626345

IDC Robert Andrew Kirk

Individual

2001 Victor Wharf Access Road

Seal Delivery Vehicle Team One

Pearl City, HI

1902108640

MR. IDC Joshua Seth Nudelman

Individual

2001 Victor Wharf Access Rd Bldg 987

Pearl City, HI

1194028514

MR. SOIDC Stephen Robert Way

Individual

2001 Victor Warf Access Rd

Pearl City, HI

1942552591

MR. Enrique Martino

Individual

2001 Victor Wharf Access Rd

Building 987

Pearl City, HI

1730524257

MR. IDC Michael Sampson Duff

Individual

2001 Victor Wharf Access Rd

Bldg 995, Pearl City Peninsula

Pearl City, HI

1750648655

IDC Aaron Ricciarelli

Individual

2001 Victor Wharf Access Rd

Pearl City, HI

1942710348

IDC Joshua Matthew Godsey

Individual

2001 Victor Wharf Access Rd

Pearl City, HI

1801445663

IDC Benjamin Jacob Gomez

Individual

2001 Victor Wharf

Pearl City, 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