Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 10

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Independent Duty Corpsman Providers

NPI Name Type Address

1164624938

SFIDC David Allen Stanfield

Individual

2606 Lower Gainesville Rd

Navsciatts

Stennis Space Center, MS

1396945853

MR. IDC Thomas Jay Walker

Individual

Special Boat Team 22

2603 Lower Gainsville Rd

Stennis Space Center, MS

1962692111

MR. IDC Francisco Xavier Eavenson

Individual

2603 Gainesville Road

Stennis Space Center, MS

1598945693

MR. IDC Eric James Motz

Individual

2603 Lower Gainesville Road

Stennis Space Center, MS

1205048501

IDC Jean Marc Dube

Individual

Special Boat Team Twenty Two

2603 Lower Gainesville Road

Stennis Space Center, MS

1740413558

I.D.C. Brandon Wayne Schwartz

Individual

Special Boat Team 22

2603 Lower Gainesville Road

Stennis Space Center, MS

1285997841

MILITARY PROVIDER Robert Dale Baker

Individual

2603 Lower Gainesville Rd

Stennis Space Center, MS

1538421268

MR. IDC James Patrick Sonnier

Individual

2603 Lower Gainesville Rd

Stennis Space Center, MS

1124341763

MR. IDC Trevor James Trout

Individual

2603 Lower Gainesville Rd

Stennis Space Center, MS

1598488587

IDC Sean Paul Spare

Individual

2606 Lower Gainesville Rd

Stennis Space Center, 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...

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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