Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 51

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Independent Duty Corpsman Providers

NPI Name Type Address

1053524579

IDC Robert James Taweel

Individual

Nmcb 133

Unit 60254

Fpo, AA

1780897207

MR. IDC Jack Warren Campbell

Individual

Nmcb 133

Fpo, AA

1336350354

IDC Patrick Deon Hawkins

Individual

Uss Rhode Island (ssbn 740) Gold

Fpo, AA

1205047222

Raymond Houck

Individual

Medical Department

Uss Tennessee (sssbn734)(blue)

Fpo, AA

1497957666

MR. IDC Jason Paul Musser

Individual

Uss West Virginia (ssbn 736) (blue)

Fpo, AA

1699971622

MR. IDC Jeffrey Walter Melancon

Individual

Nmcb 74 Unit 60253

Fpo, AA

1194919449

IDC Rodrick Alan Cannon

Individual

Mcm Crew Dominant

Fpo, AA

1215122817

United States Navy

Organization

Commanding Officer

2nd Battalion 2nd Marines

Fpo, AA

1285821785

MR. IDC Vincent De La Ossa

Individual

Hm1 De La Ossa, Vincent (medical Dept)

Uss Boone (ffg28)

Fpo, AA

1831223890

MR. IDC Barry Washington

Individual

Uss De Wert Ffg 45

Fpo, AA

1083670194

David Mitchell Edwards

Individual

Uss Maryland Ssbn 738 Blue

Fpo, AA

1972761021

NAVY IDC Christopher Crowe

Individual

Psc Box 8023

Apo, AA

1245480185

MR. IDC Randall Victor Johnson

Individual

Uss West Virginia (ssbn 736) (blue)

Fpo, AA

1730323643

IDC Jacqueline Bridget Pioch

Individual

Nmcb Seven

Bldg 309, Unit 60418

Fpo, AA

1992939458

IDC Jeremy Edward Pruitt

Individual

Uss Warrior Mcm 10

Crew Constant - Eh01

Fpo, AA

1134454770

MS. Carrie Lynn Decker

Individual

Eod Exp Support Unit One

3502 Attu Rd Bldg 326 San Diego Ca

Apo, AA

1225364755

IDC Alfredo N Alonso

Individual

Uss Doyle Ffg 39

Fpo, AA

1952631228

MR. Shawn Anthony Fisher

Individual

Uss Rhode Island (ssbn 740)

Fpo, AA

1932177995

MR. IDC Christopher Lee Harris

Individual

Uss Alaska (ssbn 732)(blue)

Fpo, AA

1407171556

MR. IDC Michael Joseph Dipietro III

Individual

Uss De Wert (ffg 45)

Medical Department

Fpo, AA

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