Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 27

Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1316915309

MR. IDC Shane A. Walter

Individual

Bhc Bangor, 2050 Barb St

Suite A, Naval Submarine Base Bangor

Silverdale, WA

1679514392

Bernard H Agnew

Individual

2100 Thresher Ave

Uss Maine Ssbn 741 Blue

Silverdale, WA

1396789244

MR. IDC Steven Reyes Wood

Individual

2100 Thresher Ave

Uss Nebraska Ssbn 739 Blue

Silverdale, WA

1386689560

IDC Richard E Bolton

Individual

2100 Thresher Ave

Uss Nevada

Silverdale, WA

1467480939

SUBMARINE IDC Rohn Dale Wallace

Individual

Uss Ohio Ssgn 726 Gold

Silverdale, WA

1326077561

MR. Denfield Arnaldo Thomas

Individual

4108 Michigan Dr Apt A

Silverdale, WA

1922039247

MR. IDC Ronald Lee Hampton

Individual

7111 Sealion Rd

Silverdale, WA

1538191283

MR. IDC Matthew H Mcclernan

Individual

Uss Kentucky Ssbn 737 Gold

2100 Thresher Ave

Silverdale, WA

1316148166

Brian Stadther

Individual

2050 Barb St

Silverdale, WA

1588865364

SUBMARINE IDC Robert John Ripps

Individual

2050 Barb St

Silverdale, WA

1770527962

IDC Patrick Blake West

Individual

Uss Louisiana Ssbn 743 (blue)

2100 Thresher Ave

Silverdale, WA

1700062593

SFIDC Jason Schwieterman

Individual

2200 Scorpion Ave

Silverdale, WA

1245499441

IDC Paul Dean Klahr

Individual

2100 Thresher Ave

Silverdale, WA

1518119676

Adam Brent Cary

Individual

2100 Thresher Ave

Silverdale, WA

1366773038

Mario M Faria

Individual

2100 Thresher Ave

Uss Pennsylvania Ssbn 735

Silverdale, WA

1255653358

IDC Dennis Wayne Dowrey

Individual

7111 Sealion Rd

Silverdale, WA

1962723668

MR. OTHER Christopher Deon Davis

Individual

2100 Thresher Ave

Uss Henry M Jackson Ssbn 730(g)

Silverdale, WA

1639353501

MR. Julius Clayton Mclinko

Individual

2102 Drum St

Silverdale, WA

1043490964

IDC Michael Alan Gwinn

Individual

2050 Barb St Ste A

Silverdale, WA

1558718395

MR. Corbin Eugene Lefebvre

Individual

7111 Sealion Rd

Silverdale, 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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689