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

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Independent Duty Corpsman Providers

NPI Name Type Address

1396967584

Daniel Gilbert

Individual

1465 Hewitt Dr

Norfolk, VA

1134331895

Glenn Hunsinger

Individual

1004 Hermitage Rd

Norfolk, VA

1164635520

MR. IDC Shannon Patrick Johnson

Individual

1004 Hermitage Rd

Bldg 2052

Norfolk, VA

1649484940

MR. IDC Daniel Paul Stevens

Individual

1004 Hermitage Road

Norfolk, VA

1952517948

MR. IDC Jaycee Morales Enriquez

Individual

Naval Submarine Support Center

9168 Second Street Suite 202

Norfolk, VA

1942418405

Brett Joseph Cummings

Individual

Uss Gonzalez (ddg 66)

Norfolk, VA

1861688301

MRS. IDC Victoria Elaine Harvey

Individual

2901 Amphibious Dr

Bldg 1522

Norfolk, VA

1891976726

MR. IDC James Kofi Osei

Individual

2600 Tarawa Ct

Bldg 1602, Pc Crew Bravo

Norfolk, VA

1205018819

MR. Keith Staples

Individual

1310 8th St

Suite 100

Norfolk, VA

1043493018

MRS. IDC Tammy Archibald

Individual

1035 Nider Blvd Ste 100

Norfolk, VA

1679756340

Joshua Guy Reid

Individual

1035 Nider Blvd Ste 100

Norfolk, VA

1902076219

MRS. IDC Pamela Jeanne Arceneaux

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1760654149

Christopher Cariss

Individual

1840 Gator Blvd

Norfolk, VA

1679749220

IDC Christopher J Marquez

Individual

1840 Gator Blvd

Seal Team Two Bldg 3841

Norfolk, VA

1841459971

MR. IDC Michael Christopher Cleaves

Individual

1465 Hewitt Dr

Uct-one

Norfolk, VA

1245499094

IDC Ryan Clinton Gilbert

Individual

1465 Hewitt Dr

Norfolk, VA

1427218726

IDC Percival Valenzuela

Individual

1865 Cove Rd

Bldg 3806

Norfolk, VA

1992965875

IDC David Scott Bockelman

Individual

1683 Gilbert St Ste 100

Norfolk, VA

1902066731

MR. SF-IDC Scott Lafountaine

Individual

1840 Cove Road

Naval Special Warfare Group Two Medical Department

Norfolk, VA

1053573667

MR. Wayne M Shurtz

Individual

1721 Taussig 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...

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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