Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 5

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Independent Duty Corpsman Providers

NPI Name Type Address

1316147457

MR. IDC Michael Waters

Individual

14900 Park Central Road

Naval Support Facility

Thurmont, MD

1467652644

IDC Jebin James Ginet

Individual

14900 Park Central Rd

Thurmont, MD

1033300884

MR. NAVY SFIDC Christopher Allen Powell

Individual

14900 Park Central Rd

Thurmont, MD

1407067259

MR. IDC Michael Bohdan Bozydaj

Individual

14900 Park Central

Thurmont, MD

1851563530

MR. Albert John Marcucci

Individual

14900 Park Central Rd

Thurmont, 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