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

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1750610788

MS. IDC Melissa Christine Foster

Individual

2901 Amphibious Drive

Acu-2

Norfolk, VA

1225351760

IDC Jocelyn Martinezdelgado

Individual

8857 1st Street

Pcu Jason Dunham Suite 400

Norfolk, VA

1386957025

MR. IDC Juan Munoz

Individual

8857 1st St

Suite 400

Norfolk, VA

1538354717

I.D.C Adrian Rivas

Individual

1900 Gator Blvd

Building 3808

Norfolk, VA

1497057665

MR. Shawn Thomas Santini

Individual

1683 Gilbert St

Norfolk, VA

1003119538

IDC Shayla R Robertson

Individual

150 Allen St

Norfolk, VA

1497051460

IDC Mitchell Todd Pearce

Individual

1004 Hermitage Rd.

Norfolk, VA

1073812095

NAVY IDC Eric William Staley

Individual

7958 Blandy Road

Commander Submarine Force Atlantic

Norfolk, VA

1508155375

IDC/SMDR Leonard B Gordon

Individual

Comnavsurflant N02m

1430 Mitscher Ave

Norfolk, VA

1457539694

MR. IDC Salvatore Giallombardo III

Individual

581 A St Bldg 312

Msfsc

Norfolk, VA

1861753030

Spencer Grey

Individual

334 E Evans St

Norfolk, VA

1093923872

MR. SFIDC Justin Ray Harris SR.

Individual

581 'a' Street

Norfolk, VA

1346428810

MR. IDC Justin Adrian Foxworth

Individual

1683 Gilbert St

Norfolk, VA

1235181058

MR. IDC Daniel William Feeback

Individual

667 John Paul Jones Cir Naval Medical Center Portsmouth

Medical Department(code No2m)

Norfolk, VA

1689706319

MR. IDC Dale Anthony Lyons

Individual

9168 2nd St Ste 200

Commander Submarine Squadron Six Medical

Norfolk, VA

1841694684

Andre Huggins

Individual

1687 Pocahontas St

Bldg 1a

Norfolk, VA

1376637181

MR. IDC Kenneth James Richards

Individual

5265 Riverwood Rd

Norfolk, VA

1033645403

HM Courtney Osborne

Individual

Uss Abraham Lincoln Cvn 72

Medical Department

Norfolk, VA

1558877878

IDC Ismael Arturo Lopez

Individual

1721 Admiral Taussig Blvd

Norfolk, VA

1053629964

MR. SFIDC Shawnly Heath Ward

Individual

Surface Warfare Medical Institute - East

459 Bellinger Blvd

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