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

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Independent Duty Corpsman Providers

NPI Name Type Address

1518584531

MR. SOIDC Arbey Asdrubal Quintero

Individual

2d Marine Raider Battalion

Camp Lejeune, NC

1427666700

SOIDC Bryan Villela

Individual

2d Marine Raider Battalion

Camp Lejeune, NC

1609487578

Nicholas Milo Hutchison

Individual

Rr612 Everett Creek Road

Camp Lejeune, NC

1659985695

SOIDC Eric Lee Woodworth

Individual

A66 Boat Basin Road

Camp Lejeune, NC

1144820002

SOIDC Levi Para

Individual

2d Reconnaissance Bn

Psc 20138

Camp Lejeune, NC

1922695261

IDC Michael Antonio Hutchison

Individual

2d Marine Raider Battalion

Camp Lejeune, NC

1972193068

MR. SOIDC Thomas Edward Keeton III

Individual

2nd Mrb

Camp Lejeune, NC

1497006084

IDC Eric Aul

Individual

Naval Medical Center Camp Lejeune

100 Brewster Blvd

Camp Lejeune, NC

1700476561

Spencer Eastman

Individual

100 Brewster Blvd

Camp Lejeune, NC

1205501384

SOIDC Jesse James Anthony

Individual

1st Mar Rdr Bn Mrr Marforsoc

Bldg 132

Camp Lejeune, NC

1669059598

Brianna Marie Gomez

Individual

100 Brewster Blvd

Camp Lejeune, NC

1093473613

MR. SOIDC Braden A Johnson

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1780343566

SOIDC Charles Michael Caley

Individual

1st Mar Rdr Bn Mrr Marforsoc

Camp Lejeune, NC

1700545597

SOIDC Nicolas Allen Oertling

Individual

1st Mar Rdr Bn Mrr Marforsoc

Camp Lejeune, NC

1063095404

Rosemary Mcmahon

Individual

Fc 308 H M Smith Boulevard

Camp Lejeune, NC

1831850031

Josiah Johnathan Wood

Individual

2d Reconnaissance Battalion

Camp Lejeune, NC

1629725536

Kepono Alvis Ross Gowan

Individual

Sneads Ferry Rd

Camp Lejeune, NC

1902544042

IDC Bobby Ray Phillips JR.

Individual

3d Marine Raider Battalion, Rr612 Everett Creek Rd

Camp Lejeune, NC

1689251290

IDC Trey Michael Pastirik

Individual

Fc309b H M Smith Blvd

Camp Lejeune, NC

1871863696

IDC Johnathan Andrew Boswell

Individual

100 Brewster Blvd

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...

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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