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

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Independent Duty Corpsman Providers

NPI Name Type Address

1689642506

MR. SFIDC Kenneth Wayne Graves

Individual

Naval Hospital Corpus Christi

10651 E Street

Corpus Christi, TX

1417914631

IDC Jeffrey William Ard

Individual

10651 E St

Corpus Christi, TX

1275590184

MR. James E Day

Individual

10651 E St

Corpus Christi, TX

1194931311

IDC Jesus Jimenez

Individual

1017a Huey Dr

Corpus Christi, TX

1568439933

MR. IDC Lee E Pradia JR.

Individual

10651 E St

Naval Hospital

Corpus Christi, TX

1922068246

MR. Chaddrick Lendon Jack

Individual

10651 E St

Corpus Christi, TX

1124097720

Michael Davis

Individual

10651 E St

Corpus Christi, TX

1689970535

MR. SUB IDC Michael G. Phillips

Individual

2621 Las Brisas St

Corpus Christi, TX

1770607145

MR. IDC Gideon Allen Kain

Individual

10651 E St.

Naval Health Clinic Corpus Christi

Corpus Christi, TX

1518337013

IDC John Cantu

Individual

3945 Tripoli Dr

Corpus Christi, TX

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