Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 22
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MS. IDC Sheila Lee Shipman |
Individual |
Nmcb Seven Unit 60252 Gulfport, MS |
|
|
MR. IDC Kevin Richard Mattos |
Individual |
Marvin Shields Blvd Cbc Gulfport Gulfport, MS |
|
|
MR. IDC Thomas E Gilham II |
Individual |
5503 Marvin Shields Blvd Gulfport, MS |
|
|
IDC Jeremy Louis Stover |
Individual |
55101 Marvin Shields Blvd Gulfport, MS |
|
|
MR. IDC Richard A Roque |
Individual |
5503 Marvin Shields Blvd Sea Bee Base Clinic Gulfport, MS |
|
|
MR. IDC James Sheldon Burnett |
Individual |
Nmcb 74 Unit 60243 Gulfport, MS |
|
|
IDC Kelly A Smith |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
SFIDC Greg Allan Lassiter |
Individual |
3110 B Seagull St Gulfport, MS |
|
|
MR. IDC Charles Edward Givens JR. |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
David Charles Halberg |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
Jenesia Arielle Dillow Ordonia |
Individual |
3158b Holloway Dr Gulfport, MS |
|
|
IDC Heather Ann Watts |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
MR. SFIDC Thomas Jeffrey Ruffner |
Individual |
5503 Marvin Shields Blvd Nhbc Gulfport Gulfport, MS |
|
|
MR. IDC Justin Ray Lancaster |
Individual |
5301 Bainbridge Ave Gulfport, MS |
|
|
Jesse Lee Palacios II |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
SURFACE IDC Nathan Daniel Dejager |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
MR. IDC David Alexander Glenn JR. |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
IDC Jeremiah John Baldwin |
Individual |
5303 Marvin Shields Blvd Gulfport, MS |
|
|
SFIDC Matthew Coleman |
Individual |
Nbhc Naval Construction Battalion Center Gulfport 5501 Marvin Shields Blvd Gulfport, MS |
|
|
IDC Jeffrey Alexander Leemauk |
Individual |
4010a Blue Heron Way Gulfport, MS |
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 |