Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 6

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Independent Duty Corpsman Providers

NPI Name Type Address

1487621942

IDC Tim Andrew Coffey

Individual

Medical Department Uss Abraham Lincoln

Fpo-ap

Everett, WA

1154491132

IDC Gary Matthew Virdell

Individual

Naval Health Clinic, Naval Station Everett

Bldg 2110

Everett, WA

1306044268

MR. I.D.C. Armando Garza

Individual

2000 W Marine View Dr

Everett, WA

1487723532

MR. IDC Karl Frederic Matous

Individual

Msron 9 Naval Station Everett

2000 Marine View Drive Building 2134

Everett, WA

1689933210

MR. NAVY DIVE IDC Nicolas Shane Gomez

Individual

2000 W Marine View Dr

Bldg 2202 Psns/imf Dive Locker - Medical

Everett, WA

1326171570

MR. IDC Andre Maurice Cardenas

Individual

2000 W Marine View Dr

Bldg 2010

Everett, WA

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