Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 27
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Rodger M Howard |
Individual |
3420 Illinois Street Bldg 1007 Great Lakes, IL |
|
|
MR. I.D.C. Clifford Loren Moudy II |
Individual |
3001a Sixth St Naval Hospital Great Lakes Great Lakes, IL |
|
|
MR. Raymond Lawrence Howard SR. |
Individual |
3001 6th St Ste A Great Lakes, IL |
|
|
MR. OTHER Joseph Thomas Minich |
Individual |
2410 Sampson St Bldg 237 Great Lakes, IL |
|
|
PROF. IDC David Aaron Galvan |
Individual |
3001 6th St Ste A Great Lakes, IL |
|
|
MR. IDC Edward Nmn Goldsborough IV |
Individual |
3001 A 6th St Great Lakes, IL |
|
|
NAVY IDC Brett Staib |
Individual |
3420 Illinois St Bhc 1007 Great Lakes, IL |
|
|
IDC Jose Alfredo Nicola |
Individual |
Naval Health Clininc Great Lakes Branch Medical Clinic 1007 Uss Tranquility Great Lakes, IL |
|
|
Jesse C Cabuyadao |
Individual |
3001 6th St Ste A Great Lakes, IL |
|
|
MR. IDC John Allan Clayton Fulling |
Individual |
2410 Sampson St Fisher Bmc #237 Great Lakes, IL |
|
|
MR. NAVY IDC David Robert Johnsen |
Individual |
3001a Sixth Street Naval Hospital Fisher Clinic Great Lakes, IL |
|
|
MR. IDC Michael Paul Coffman |
Individual |
601 D Street Great Lakes, IL |
|
|
MR. INDEPENDENT DUTY HM Rodolfo Pineda Manansala |
Individual |
601 D St Bldg 130-h Great Lakes, IL |
|
|
MR. IDC Steven Mark Rinkavage JR. |
Individual |
601 D St Great Lakes, IL |
|
|
MR. IDC Jon Scott Little |
Individual |
3001a Sixth Street Great Lakes, IL |
|
|
IDC Chris Ebert |
Individual |
3001a Sixth Street Great Lakes, IL |
|
|
MR. IDC Joseph Alan Burmeister |
Individual |
Naval Hospital Great Lakes Great Lakes, IL |
|
|
MR. Scott David Arnold |
Individual |
320 Dewey Ave Ste A Naval Special Warfare Preparatory School Bldg 322 Great Lakes, IL |
|
|
IDC Benjamyn Savard |
Individual |
2410 Sampson St Bldg 237 Great Lakes, IL |
|
|
IDC Clinton Lariscy |
Individual |
3355 Illinois St Recruit Training Command Great Lakes Great Lakes, IL |
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 |