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

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Independent Duty Corpsman Providers

NPI Name Type Address

1639106586

MR. Agustin Delarosa

Individual

620 John Paul Jones Cir

Portsmouth, VA

1942262340

MR. IDC Bernard L. Hodges

Individual

620 John Paul Jones Cir

Naval Medical Center Portsmouth / Sarp

Portsmouth, VA

1558592675

Kevin Leigh Russell

Individual

Msron-6

Bldg 15, Norfolk Naval Shipyard

Portsmouth, VA

1033319702

MR. IDC Duane E Paquette

Individual

620 John Paul Jones Cir

Naval Medical Center Portsmouth, Family Practice

Portsmouth, VA

1427216837

IDC Michael Anthony Wallace

Individual

620 John Paul Jones Cir

Portsmouth, VA

1407113889

IDC George Wendell Graham

Individual

620 John Paul Jones Cir

Portsmouth, VA

1073941811

IDC Aaron Pines

Individual

264 Tigerlilly Dr

Portsmouth, VA

1356533731

IDC Teresa A Kirkland

Individual

Code 100 M, Building 277

Portsmouth, VA

1730546920

Kenneth Neville

Individual

620 John Paul Jones Cir

Portsmouth, VA

1528427242

IDC Andrea Dewitz

Individual

449 Broad St

Portsmouth, VA

1972511764

MR. Nathan A. Marsh

Individual

620 John Paul Jones Cir

Portsmouth, VA

1669644126

MR. IDC Edward Austin Magrill

Individual

620 John Paul Jones Cir

Portsmouth, VA

1407527583

IDC Scott Lee Meyer

Individual

4000 Coast Guard Blvd

Portsmouth, VA

1780356881

Jo-davy Andre Jauregui

Individual

4000 Coast Guard Blvd

Portsmouth, VA

1669134193

IDHS Michael Thomas Miozzi

Individual

Base Portsmouth Portsmouth

4000 Coast Guard Blvd

Portsmouth, VA

1881358851

IDHS Anatoliy Olexandrovych Gryshchenko

Individual

4000 Coast Guard Blvd

Portsmouth, VA

1689338469

MR. William Jessie Cantrell

Individual

Uscgc Spencer, Wmec-905

4000 Coast Guard Blvd.

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...

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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