Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 161

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1871070011

MR. SOIDC Christopher E Saxton

Individual

3d Marine Raider Battalion Bas

Camp Lejeune, NC

1295212199

MR. SOIDC, EMT-P Ryan Loseke

Individual

3d Mrb

Camp Lejeune, NC

1760967509

Sergeous Evgeney Anikin-dick

Individual

2d Marine Raider Battalion Psc 20183

Camp Lejeune, NC

1053896514

IDC Roy Atallah

Individual

2nd Marine Raider Battalion

Camp Lejeune, NC

1578032504

MR. SOIDC Brendon Earl Dumas

Individual

Rr612 Everett Creek Road

Camp Lejeune, NC

1447720412

SOIDC William Anthony Mcgrath

Individual

3d Marine Raider Battalion

Camp Lejeune, NC

1649826652

Nicholas Otazo

Individual

3rd Mrb 20073

Camp Lejeune, NC

1881241651

IDC Anthony Allen Dowell

Individual

100 Brewster Blvd

Camp Lejeune, NC

1881243525

MR. IDC Alexander Thomas Rodgers

Individual

2nd Raider Battalion

A66 Boat Basin Rd

Camp Lejeune, NC

1962044289

Levi Scott Marshall

Individual

Everett Creek Road

Building 612

Camp Lejeune, NC

1427694637

SOIDC Aaron Patrick Bettcher

Individual

3rd Mrb Loop Rd

Camp Lejeune, NC

1376189191

IDC Timothy Loren Moore

Individual

2d Reconnaissance Battalion

2d Marine Division

Camp Lejeune, NC

1699306670

SOIDC Dominick Ciampo

Individual

A66 Boat Basin Road

Camp Lejeune, NC

1639702020

Joseph Michael Biagioni

Individual

100 Brewster Blvd

Camp Lejeune, NC

1710512009

SOIDC Matthew Defries

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1699301770

Michael Addison Whetstone

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1629605035

SOIDC Joshua Paul Balice

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1497376669

SOIDC Michael Sola

Individual

3d Marine Raider Battalion

Camp Lejeune, NC

1528689601

MR. SOIDC Alex Michael Leurck

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1053932145

SOIDC Nicholas Anthony Quarto

Individual

3d Marine Raider Battalion

Camp Lejeune, NC

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689