Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 20

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Independent Duty Corpsman Providers

NPI Name Type Address

1861469231

MR. IDC Manuel Concepcion Arcangel

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1396712667

MR. IDC Richard Raul Torres

Individual

480 Central Ave

Pearl Harbor, HI

1417924887

MR. IDC Joseph Michael Kozakiewicz

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1245208107

Emilia Guerrero

Individual

480 Central Ave

Pearl Harbor, HI

1285698969

MR. IDC Manuel Contreras JR.

Individual

Uss Russell Ddg59

Pearl Harbor, HI

1740245091

John Thomas Renn

Individual

250 Makalapa Dr

Pearl Harbor, HI

1407898539

MR. IDC Michael Glen Peck JR.

Individual

822 Clark St

Suite 400

Pearl Harbor, HI

1376589077

NAVY IDC Craig Randolph Soleim

Individual

822 Clark St

Naval Submarine Support Command Medical

Pearl Harbor, HI

1831124007

MR. IDC MILITARY Michael Brian Sexton

Individual

Fpo Ap 96662-2418

Uss Columbus Ssn 762

Pearl Harbor, HI

1124232434

IDC William David Triplett

Individual

480 Central Ave

Pearl Harbor, HI

1205043726

MR. Michael James Haughey

Individual

822 Clark St

Suite 400

Pearl Harbor, HI

1437356912

Corey Lee Mccloud

Individual

Navy Health Clinic Hawaii

Makalapa Family Pratice Clinic

Pearl Harbor, HI

1275860603

MR. SUBMARINE IDC Michael J. Rodriguez

Individual

822 Clark St.

Nssc Medical Suite 400

Pearl Harbor, HI

1194043992

MR. IDC/RHO Keith Allen Laubinger

Individual

1210 Battleship Dr

Unit # 132

Pearl Harbor, HI

1750691291

MR. IDC Ronald Bruce Rutherford

Individual

850 Ticonderoga St Ste 110

Pearl Harbor, HI

1184914061

William A Talbott

Individual

850 Ticonderoga St

Pearl Harbor, HI

1922349968

IDC Jose Israel Lopez

Individual

Mdsu-1 Bishop Point

Building 17

Pearl Harbor, HI

1104290519

Carlton Jacob Maughan

Individual

Bldg 17 Bishops Point

Pearl Harbor, HI

1003325366

IDC Justin Hesse

Individual

Building 17 Bishop Point

Pearl Harbor, HI

1871170704

Robert M Okane

Individual

Bldg 17 Bishop Point

Pearl Harbor, 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