Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 12

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Independent Duty Corpsman Providers

NPI Name Type Address

1720056609

MR. OTHER Rudy Wilbert Arocha

Individual

Branch Health Clinic

327 Coral Sea Dr. Suite 165

Ingleside, TX

1619944642

MR. IDC Damian J Lovello

Individual

1632 Ticonderoga St

Uss Heron Mhc 52

Ingleside, TX

1306809967

MR. Douglas Neil Holleman SR.

Individual

Mhc Crew Inflict

Naval Station Ingleside

Ingleside, TX

1629108881

MR. IDC Gabriel S Tellez

Individual

1455 Ticonderoga

Mcm Crew Fearless, Comcmron 2, Naval Station

Ingleside, TX

1700090685

MR. IDC Ronald Derald Fryar JR.

Individual

1451 Lexington Drive

Ingleside, TX

1245420017

Phillip Anthony Rodriguez

Individual

Naval Branch Health Clinic Ingleside

327 Coral Sea Drive, Suite 165

Ingleside, TX

1891985529

MR. Roy Michael Elias

Individual

327 Coral Sea Rd Suite 123

Ingleside, TX

1871787614

IDC Raymond Louis Johnson

Individual

327 Coral Sea Rd

Suite 165

Ingleside, TX

1790970184

Aaron Patrick Sikes

Individual

327 Coral Sea Rd

Ingleside, TX

1609043777

MR. IDC Jason Paul Fechner

Individual

1451 Lexington Drive

Comcmron2

Ingleside, TX

1881844538

MR. SFIDC Michael Charles Menninger

Individual

1451 Lexington Blvd

Building 300, Suite 149

Ingleside, TX

1699910414

MR. IDC Benjamin Noel Paloy Carrido

Individual

2969 Atlantic Blvd Apt 115

Ingleside, 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