Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 37

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1679534937

IDC Rory Dean Miller

Individual

5501 High St W

Portsmouth, VA

1366481665

Brad Andrew Lipert

Individual

620 John Paul Jones Cir

Portsmouth, VA

1043254048

Teresa R Mckinney

Individual

620 John Paul Jones Cir

Portsmouth, VA

1568498764

IDC Brian Keith Humbles

Individual

620 John Paul Jones Cir

Portsmouth, VA

1548298177

IDC Eric Thomas Shank

Individual

620 John Paul Jones Cir

Portsmouth, VA

1659304244

MR. Scott Lee Radke

Individual

620 John Paul Jones Cir

Portsmouth, VA

1578573390

MR. IDC Ricardo Miguel Tubbs

Individual

1001 Holcomb Rd

Portsmouth, VA

1679677389

IDC James Adelbert Meeker

Individual

620 John Paul Jones Cir

Portsmouth, VA

1205954104

IDC Mark E Bryant

Individual

620 John Paul Jones Cir

Portsmouth, VA

1760694368

MR. IDC Hosea Smith JR.

Individual

Naval Coastal Warfare Squadron Four

Nnsy Bldg 11 Rm 103

Portsmouth, VA

1588879779

MR. IDC Ralph Allen Rowe JR.

Individual

Mobile Security Squadron Six

Nnsy Bld 15

Portsmouth, VA

1609080589

IDC Luis Alexander Glinton

Individual

Norfolk Naval Shipyard

Bldg 15

Portsmouth, VA

1144436924

IDC Jennifer Marie Faasen

Individual

620 John Paul Jones Cir

Portsmouth, VA

1861600389

IDC Christopher Robin Maurer

Individual

Ncws 4, Ibu 41

Nnsy Bldg 11

Portsmouth, VA

1326242215

MR. IDC Thomas Michael Kaptur

Individual

Naval Costal Warfare Squadron Four

Norfolk Naval Shipyard Bldg 11

Portsmouth, VA

1386802452

MR. IDC Sean Patrick Finch

Individual

620 John Paul Jones Cir

Portsmouth, VA

1356500938

MR. IDC Randy Roland Boucher

Individual

620 John Paul Jones Cir

Portsmouth, VA

1538102314

Eric James Duchesneau

Individual

620 John Paul Jones Cir

Portsmouth, VA

1386804086

MR. IDC Francis M Thomas

Individual

620 John Paul Jones Cir

Portsmouth, VA

1700048303

MR. Eric Nmn Smith

Individual

620 John Paul Jones Cir

Portsmouth, 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