Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1932383593

MR. IDC Michael A Walls

Individual

3399 Strauss Ave

Suite 219

Indian Head, MD

1851504237

MR. IDC Dean Natale Del Favero

Individual

2008 Stump Neck Rd

Indian Head, MD

1497918635

IDC David Paul Horvath

Individual

3399 Strauss Ave Ste 219

Indian Head, MD

1508161894

IDC Gary A Byrum

Individual

2008 Stump Neck Rd

Naval Explosive Ordnance Disposal Technology Division

Indian Head, MD

1740693324

MR. Benjamin Graves

Individual

3399 Strauss Ave Bldg 901

Indian Head, MD

1003358573

Timothy Andrew Wienke

Individual

3399 Strauss Ave

Indian Head, MD

1801467485

IDC Caleb Jordan Beattie

Individual

3399 Strauss Ave Ste 219

Indian Head, 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