Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 16

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Independent Duty Corpsman Providers

NPI Name Type Address

1740258755

MR. USN - IDC Anthony James Schlim

Individual

8901 Wisconsin Ave

Bethesda, MD

1720247158

MR. IDC James Matthew Weser

Individual

National Naval Medical Ctr

8901 Wisconsin Ave

Bethesda, MD

1457597601

Patrick L Hyde

Individual

8901 Wisconsin Ave

Bldg 1 Room 1693

Bethesda, MD

1699911370

MR. IDC Maurice L Mcbride

Individual

National Naval Medical Center Bethesda

Medical Services Directorate

Bethesda, MD

1851446827

MR. Samuel Priagola

Individual

8901 Rockville Pike

Bethesda, MD

1245461870

MR. IDC Wilbur Henry Stafford

Individual

National Naval Medical Ctr

8901 Rockville Pike

Bethesda, MD

1588991400

MISS Shannon Leigh Mcgough

Individual

8901 Wisconsin Ave

Bethesda, MD

1235466004

MR. IDC Chris Sweat

Individual

8901 Wisconsin Ave

Bethesda, MD

1891027975

MR. INDEPENDENT DUTY COP Christopher James Santee

Individual

8901 Wisconsin Ave

Bethesda, MD

1487840716

MR. IDC Tyron Lamarr Hodges

Individual

National Naval Medical Center Bethesda

8901 Rockville Pike

Bethesda, MD

1790098465

MR. IDC Dinsley Nichol Harris

Individual

8901 Wisconsin Ave

Internal Medicine

Bethesda, MD

1801864624

MR. NAVY IDC John Vavrek

Individual

Nnmc Bethesda Internal Medicine

8901 Wisconsin Ave

Bethesda, MD

1427367242

IDC Christopher T Walton

Individual

8901 Wisconsin Ave

Bethesda, MD

1942263850

IDC John Edward Rollinger

Individual

8901 Wisconsin Ave

Bethesda, MD

1083980932

MR. IDC Ernest Theophilus Quimby IV

Individual

Walter Reed Nmmc

Bldg 1 Suite 5103 8955 Wood Road

Bethesda, MD

1700136447

MR. SUBMARINE IDC Bradley James Schneider

Individual

8901 Wisconsin Ave

Bethesda, MD

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