Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 105

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Independent Duty Corpsman Providers

NPI Name Type Address

1073843207

Kevin Matthew Caldwell

Individual

1901 Big Boulder Dr

Virginia Beach, VA

1962724724

MR. IDC John D Dempsey

Individual

1636 Regulus Ave

Virginia Beach, VA

1912100488

MR. IDC US NAVY David James Walker

Individual

2135 Wellings Ct

Virginia Beach, VA

1922214378

MR. IDC Zachary Dukane Pryor

Individual

1745 10th Street

Beach Master Unit Two

Virginia Beach, VA

1174641344

IDC Bryan Paul Zimmerman

Individual

2360 Amphibious Dr

Virginia Beach, VA

1215231691

MR. Peter M David

Individual

1465 Hewitt Dr

Virginia Beach, VA

1003111261

HOSPITAL CORPS IDC Steven Lee Coleman

Individual

821 Blasters Cv

Virginia Beach, VA

1073810917

IDC Warren Skinner

Individual

1840 Gator Blvd

Virginia Beach, VA

1235438375

IDC/DMT Marshall Neil Sherrill

Individual

1004 Hermitage Rd

Bldg 2014

Virginia Beach, VA

1386844389

MR. USN IDC Sean Patrick Miles

Individual

1636 Regulus Ave

Virginia Beach, VA

1891094017

IDC Juan Martin Ochoa

Individual

2520 Midway Rd

Virginia Beach, VA

1710276480

MR. IDC Michael Monroe

Individual

2520 Midway Rd, Ste 200

Eodmu Two Medical Dept

Virginia Beach, VA

1861785297

USN IDC Billy Villalobos

Individual

1840 Cove Rd

Virginia Beach, VA

1487932141

US NAVY DIVE IDC Jason Richard Duty

Individual

1004 Hermitage Rd

Joint Expeditionary Base Little Creek Bldg 2052

Virginia Beach, VA

1275830747

MR. Jason William Grant

Individual

1355 Helicopter Rd

Virginia Beach, VA

1043486855

IDC Tadeo E O'brien

Individual

1840 Gator Blvd

Virginia Beach, VA

1962782755

MR. IDC Troy Lamar Lindsay

Individual

2220 Schofield Rd

Suite 200

Virginia Beach, VA

1285916072

United States Navy

Organization

318 S French Ct

Virginia Beach, VA

1902174899

INDEPENDENT DUTY HM Jon Rudolf Pangan

Individual

4432 Bonney Rd

Apartment 206

Virginia Beach, VA

1679846281

MR. IDC Tyler Elliot Johnson

Individual

342 Dover Ct

Virginia Beach, 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