Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 105
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
SFIDC Jose Omar Vargas |
Individual |
1840 Gator Blvd Bldg: 3841 Virginia Beach, VA |
|
|
MR. DIVE IDC John Douglas Moore |
Individual |
1004 Hermitage Rd Bldg 1014 Virginia Beach, VA |
|
|
Pierce Cogburn |
Individual |
3985 Old Forge Rd Virginia Beach, VA |
|
|
Mario Zavala |
Individual |
408 N Amsterdam Ct Virginia Beach, VA |
|
|
MR. IDC Michael Benjamin Wachter |
Individual |
821 Blasters Cv Virginia Beach, VA |
|
|
James William Oglesby |
Individual |
2340 Amphibious Dr Ste 125 Virginia Beach, VA |
|
|
IDC Owen Wilhelm Horton |
Individual |
472 Polaris St Bldg 586 Virginia Beach, VA |
|
|
IDC Scott Lenon |
Individual |
1465 Hewitt Dr Virginia Beach, VA |
|
|
IDC Elis Bojaxhi |
Individual |
3044 Ashlawn Ter Virginia Beach, VA |
|
|
Joseph Clinton Francom |
Individual |
1875 Cove Rd Virginia Beach, VA |
|
|
MILITARY/SOIDC Mathieu Cote |
Individual |
472 Polaris St Bldg 586 Virginia Beach, VA |
|
|
IDC Lydia Kay Andaya |
Individual |
2220 Schofield Rd Virginia Beach, VA |
|
|
US NAVY IDC Ashton Neal Burnett |
Individual |
1875 Cove Rd Bldg 3806 Virginia Beach, VA |
|
|
DIVE IDC Georgiy O Bondarchuk |
Individual |
1465 Hewitt Dr Virginia Beach, VA |
|
|
IDC Brian Hunsicker |
Individual |
1004 Hermitage Rd Virginia Beach, VA |
|
|
MR. IDC Stephen Torres |
Individual |
1900 Gator Blvd Bldg 3808 Virginia Beach, VA |
|
|
SOIDC Jonathon Daniel Ratkus |
Individual |
1636 Regulus Ave Virginia Beach, VA |
|
|
SOIDC Kevin Bradley |
Individual |
903 13th St Virginia Beach, VA |
|
|
Seth Walter |
Individual |
1825 Olympic Dr Virginia Beach, VA |
|
|
MR. IDC Reymundo Borjon JR. |
Individual |
2200 Gator Blvd 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...
| 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 |