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

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Independent Duty Corpsman Providers

NPI Name Type Address

1225005515

HMCS - NAVY IDC Charles Thomas Canterbury

Individual

Second Medical Battalion, 2d Marine Logistics Group

Psc Box 20129

Camp Lejeune, NC

1093183386

Jonathan Frye

Individual

100 Brewster Blvd

Camp Lejeune, NC

1558730671

James Allmer

Individual

100 Brewster Blvd

Camp Lejeune, NC

1639544935

Tucker Cody Brown

Individual

Psc Box 20080

Division Surgeons Office

Camp Lejeune, NC

1437508355

Richard Dean Neading

Individual

2d Raider Battalion Psc Box 20183

Camp Lejeune, NC

1396195012

Gregory Norman

Individual

2d Marine Raider Battalion

Psc Box: 20183

Camp Lejeune, NC

1538616024

NAVY SURFACE IDC William James Harris

Individual

Psc Box 20117

Charles Luke Milam Clinic Bldg. Rr 440

Camp Lejeune, NC

1174072938

IDC Marcus Lloyd Smith

Individual

6 Marine Regiment Psc Box 20097

Camp Lejeune, NC

1982906483

IDC Courtney Brian Lust

Individual

2d Reconnaissance Bn, Bldng A-71

Psc Box 20138

Camp Lejeune, NC

1306389291

IDC Michael J Tuey

Individual

6408 Montana St

Camp Lejeune, NC

1235673054

SOIDC John Layne Burgess

Individual

2d Marine Raider Battalion

Psc Box 20183

Camp Lejeune, NC

1427444587

IDC Jesus Teddy Estavillo Guillermo

Individual

Psc Box 20094

Camp Lejeune, NC

1255870390

SOIDC/8403 Mick Miller

Individual

2d Reconnaissance Battalion

Psc Bix 20138

Camp Lejeune, NC

1821519919

IDC Michal Nakoneczny

Individual

Courthouse Rd

Bldg A66

Camp Lejeune, NC

1558886242

NAVY IDC Brandon Jay Smith

Individual

E Street Bldg G770

Camp Lejeune, NC

1518459064

MR. John Allen

Individual

Rr612 Everrett Creek Road

Camp Lejeune, NC

1639661192

MR. NAVY SOIDC Kenneth Lee Russell

Individual

3d Marine Raider Battalion

Camp Lejeune, NC

1023500212

SOIDC Josip Ninrodriguez

Individual

3d Marine Raider Battaliom

Camp Lejeune, NC

1780176693

Jeremy David Horsey

Individual

2d Mrb

Camp Lejeune, NC

1033616131

IDC Baron Jospeh Ochoa

Individual

A66 River Basin Rd

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