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

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Independent Duty Corpsman Providers

NPI Name Type Address

1669629069

Michael Roush

Individual

2600 Tarawa Ct

Norfolk, VA

1659529964

MR. IDC Charles Keith Mahan

Individual

2600 Tarawa Ct

Norfolk, VA

1891943825

INDEPENDENT DUTY HM Michael Jacob Loeffler

Individual

1959 Morris St

Bldg Z101

Norfolk, VA

1831348838

MR. IDC Sean Gregory Pearson

Individual

2600 Tarawa Ct Ste 260

Norfolk, VA

1528238680

Patrick Michael Wiens

Individual

1745 10th St

Norfolk, VA

1922257724

IDC Mark Allan Delay

Individual

1875 Cove Rd

Bldg 3806

Norfolk, VA

1104077445

MR. IDC Jason Lee Schneider

Individual

1815 Seabee Dr

Norfolk, VA

1558506444

MR. IDC David Alan Donahue

Individual

1300 Helicopter Rd Bldg 3812

Norfolk, VA

1225273691

IDC Jason Paul Arceneaux

Individual

1355 Helicopter Rd

Norfolk, VA

1558507442

IDC Donald Charles Orton

Individual

8857 1st St Bldg Cep 86 Suite 400

Pcd Commander Precomdet New York (lpd 21) C/o Ddg Class

Norfolk, VA

1013143221

MR. MILITARY HEALTH/IDC James J Barakat

Individual

1875 Intercove Rd Bldg 3813

Norfolk, VA

1437115326

MR. IDC Nicholas Jeremy Nelsen

Individual

1721 Admiral Taussig Blvd

Norfolk, VA

1336377688

MR. SFIDC Shane Oliver Chung

Individual

302 Warren Street Apt 3

Norfolk, VA

1598998536

IDC Heather Allison Anderson

Individual

1721 Taussig Blvd

Jason Dunham Ddg 109 Naval Station Norfolk,

Norfolk, VA

1306079215

MR. DMT, IDC Brian Scott Anderson

Individual

1465 Hewitt Dr

Norfolk, VA

1629301361

MR. IDC Bobby O Thomas

Individual

1300 Helicopter Rd

Naval Special Warfare Support Activity Two

Norfolk, VA

1598724684

Robert C Brown

Individual

8857 1st St Ste 400

Ddg Classron-ehslant

Norfolk, VA

1245417872

Kathryn Pauline Coleman

Individual

2155 11th St

Norfolk, VA

1407815392

Eric Landry Provo

Individual

8857 1st St Ste 400

Norfolk, VA

1780645051

MR. USN-IDC Brian David Campbell

Individual

7400 Sewells Point Rd

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