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

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Independent Duty Corpsman Providers

NPI Name Type Address

1780832022

MR. IDC Barry Charles Gibson

Individual

100 Brewster Blvd

Nh Camp Lejeune

Camp Lejeune, NC

1801047741

Joshua Ash

Individual

Marine Special Operations Advisor Group

Attn: Medical Dept.

Camp Lejeune, NC

1972754810

Scott Lovvorn

Individual

Marine Special Operations Advisor Group

Attn: Medical Department

Camp Lejeune, NC

1740432178

Jason Adams

Individual

Msoag Aid Station

Bldg 1211

Camp Lejeune, NC

1942492731

MR. IDC Seth Michael Matteson

Individual

Marine Forces Special Operations Command/ Msosg

Psc Box 20116

Camp Lejeune, NC

1780838524

SOIDC Anthony Shattuck

Individual

2d Marine Special Operations Battalion

Psc 20183

Camp Lejeune, NC

1831344936

NAVY IDC Jeremy K Torrisi

Individual

2d Marine Special Operations Bn

Psc Box 20183

Camp Lejeune, NC

1114162740

MR. Mario Esteban Betancourt

Individual

2d Battalion 2d Marines 2d Marine Division

Psc Box 20095

Camp Lejeune, NC

1528298478

MR. SOIDC David Harold Thacker I

Individual

2d Reconnaissance Battalion, Ii Mef

Psc Box 20138

Camp Lejeune, NC

1518198035

MR. IDC Ward Evan Taft

Individual

2d Marine Special Operations Battalion

Psc20183

Camp Lejeune, NC

1871724310

MR. IDC Ronnie David Bayless JR.

Individual

2d Marine Special Operation Battalion

Psc Box 20183

Camp Lejeune, NC

1780919068

MR. SOIDC Clayton Silas Argall

Individual

2d Msob

Camp Lejeune, NC

1821324856

IDC Avery Jerome Holmes

Individual

Building Hp217 F St

Battalion Aid Station 1st Battalion 2nd Marines

Camp Lejeune, NC

1497086177

MR. Gregory Potter

Individual

100 Brewster Blvd

Naval Hospital Bmc Mcas

Camp Lejeune, NC

1659696722

Denise Marie Galvan

Individual

Fc308 Daily St

Camp Lejeune, NC

1821317017

IDC Timothy M Hanley

Individual

100 Brewster Blvd

Camp Lejeune, NC

1174584783

MR. IDC Shawn Thomas Lawson Lawson

Individual

2d Medical Battalion

Camp Lejeune, NC

1154503779

MR. Christopher Ritter

Individual

5592 Florida Ave

Camp Lejeune, NC

1841423886

MR. SOIDC Rubens Henrique Dacosta

Individual

2d Marine Special Operations Battalion

Psc

Camp Lejeune, NC

1750690038

NAVY IDC Karl-heinz Thomas Lenz

Individual

Building 101 C Street

Room 101

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