Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 85

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1316926066

IDC John Wallace SR.

Individual

300 E Main St

Suite 1000

Norfolk, VA

1710959010

MR. IDC USN Walter Merrille Mccorkill

Individual

Riverine Group One

Attn Bldg 2012 240 Amphibious Dr Ste 125

Norfolk, VA

1366415614

MR. IDC Franklin Jay Jensen JR.

Individual

2901 Amphibious Dr

Norfolk, VA

1730156134

MR. I.D.C. Nelsoncris Caparas Delacruz

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1639146632

MR. Edward Robin Spearman

Individual

1721 Taussig Blvd

Norfolk, VA

1427025485

MR. I.D.C. Ricardo Garza

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1609837111

IDC Adam Nathaniel Goulas

Individual

9168 2nd St

Suite 202

Norfolk, VA

1487614897

IDC Scott Anthony Bissen

Individual

9168 2nd St

Suite 202

Norfolk, VA

1780645895

MR. IDC Andrew Douglas Barker

Individual

9168 2nd St

Ste 202

Norfolk, VA

1619939147

MR. SUB IDC David C Young

Individual

1035 Nider Boulevard Naval Amphibious Base Little Creek

Suite 100

Norfolk, VA

1356305130

MR. IDC William Alex Clauson SR.

Individual

Uss Ross Ddg 71

Fpo Ae 09586

Norfolk, VA

1225073299

MR. IDC Jason Paul Davis

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1649206335

MR. William Edward Downing III

Individual

1683 Gilbert St

Suite 100

Norfolk, VA

1093741993

IDC US NAVY Elisha Alexander

Individual

1959 Morris St

Suite 120 Bldg Z101

Norfolk, VA

1205865755

MR. IDC Paul Frederick Hazard

Individual

1035 Nider Blvd

Suit 100

Norfolk, VA

1245330505

IDC Carrie Marie Rook

Individual

1915 C Ave

Cep-171 Room 204

Norfolk, VA

1992891246

HS Chris Gustave Evans

Individual

300 Main St

Norfolk, VA

1154401693

MR. IDC Shawn Alan Kirkpatrick

Individual

2155 11th St

Norfolk, VA

1881811586

IDC Frank Garcia

Individual

1721 Taussig Blvd

Norfolk, VA

1790907590

IDC Dennis Michael Polli

Individual

1575 Gator Blvd Bldg 3504

Nab Little Creek

Norfolk, 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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689