Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 22

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Independent Duty Corpsman Providers

NPI Name Type Address

1376505321

MR. IDC Roger Dale Mcgee

Individual

2120 Chesterfield Loop

Chesapeake, VA

1366650145

MR. Craig A Steele

Individual

812 Rivanna River Reach

Chesapeake, VA

1982891156

IDC Jason Keith Noble

Individual

272 Carawan Ln

Chesapeake, VA

1720266422

SFIDC Jesse R Bedia

Individual

1400 Otterbourne Cir

Chesapeake, VA

1649439605

IDC Louis Eugene Raiford

Individual

217 Heritage Oak Dr

Chesapeake, VA

1902069990

IDC Huben Lindale Phillips

Individual

2803 Meadow Wood Ct W

Chesapeake, VA

1538319223

IDC Christopher Golden

Individual

201 Thoroughbred Ln

Chesapeake, VA

1922055169

IDC Amanda L Gentry

Individual

100 Alfred Loop

Apt 201

Chesapeake, VA

1023048931

HMC/IDC, US NAVY Mark Alan Chesney

Individual

3573 Forest Haven Ln

Chesapeake, VA

1801126289

IDC Daniel Michael Covitz

Individual

1317 Ballahack Rd. Ste 100

Capt W.l. Mcgonagle Branch Clinic Nsa Northwest

Chesapeake, VA

1730339029

MR. Brendan William Mccarthy

Individual

1317 Ballahack Rd

Ste 100

Chesapeake, VA

1982977153

MR. IDC Michael Thomas Hedden

Individual

1317 Richwood Ave

Chesapeake, VA

1871845313

MRS. HM1 IDC Jennifer Renee Otterbach

Individual

4000 Hailey Ct

Chesapeake, VA

1336582774

MR. IDC Mario Delano Phillips JR.

Individual

745 Eden Way North

Chesapeake, VA

1932533601

MR. IDC Ernesto Carrasquillo III

Individual

1804 Crestmont Place

Apt 302

Chesapeake, VA

1366872772

MR. IDC Matthew John Watton

Individual

1414 Sabbath Ln

Chesapeake, VA

1346661550

MR. SFIDC Angel Daniel Rendon

Individual

865 Royal Grove Ct

Chesapeake, VA

1689886509

MR. HMC SF-IDC Bradley Allen Sharp

Individual

1548 Wilderness Rd

Navcon Brig Chesapeake

Chesapeake, VA

1588925754

Christian Marsh

Individual

707 Washington Dr

Chesapeake, VA

1093137697

Jessica Marie Camblor

Individual

1548 Wilderness Rd

Chesapeake, VA

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