Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 105
Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SOIDC, ATP, FPC Anson Thomas Rice |
Individual |
Nswdg 402 Polaris Street Bldg 586 Virginia Beach, VA |
|
|
MR. PA-C Timothy Aaron Gundlach |
Individual |
1936 Tibbetstown Dr Virginia Beach, VA |
|
|
MR. SUB IDC Randy Scott Breidel |
Individual |
Dam Neck Annex 1885 Terrier Ave Ste 100 Virginia Beach, VA |
|
|
IDC Katrina Morato |
Individual |
408 N Amsterdam Ct Virginia Beach, VA |
|
|
MR. Nicholas Aaron Kilgore |
Individual |
472 Polaris St Bldg 586 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 |