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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245284629

MR. IDC Matthew William Clark

Individual

Uss Philippine Sea

Fpo, AA

1841485323

MR. Willie J Collins

Individual

Uss The Sullivans

Ddg68

Fpo, AA

1871870022

MR. IDC Ken Samuel Conklin

Individual

Psc Box 20073

Camp Lejeune, Nc

Apo, AA

1649545542

IDC Omar Anibal Decastro-sosa

Individual

Nmcb One

Unit 60251

Fpo, AA

1942547450

SFIDC Thomas R. Grissom

Individual

Naval Mobile Construction Battalion One

Unit 60251

Fpo, AA

1942543475

MR. NAVY SURFACE IDC Christopher S Loy

Individual

Uss Carney (ddg 64)

Fpo, AA

1376948349

MR. IDC Charles Douglas Knight

Individual

Uss Maryland Ssbn 738

Fpo, AA

1982000550

Eric Haynes

Individual

Psc Box 20116 Camp Lejeune

Apo, AA

1861866451

Brent James Mcintyre

Individual

Uss Springfield (ssn 761)

Fpo, AA

1841703543

MILITARY SOIDC Christopher Andrew Hughes

Individual

1st Marine Raider Battalion

Box # 555341

Apo, AA

1568929636

MR. SOIDC Rory Joseph Farrell

Individual

Camp Pendleton

Apo, AA

1912553975

SOIDC Brandon Joseph Dapper

Individual

Camp Lejeune, Nc

2d Reconnaissance Battalion Battalion Aid Station

Fpo, AA

1720624992

SOIDC Joshua Marcus Kuepper

Individual

4th Force Reconnaissance Co

1181 Sumner Rd Mcb Kaneohe Bay Hi

Apo, AA

1851939482

SO/IDC Ryan Thomas Beason

Individual

2d Marine Raider Battalion

Fpo, AA

1861030405

Charles Smyers

Individual

2d Marine Raider Battalion

Fpo, AA

1316542046

SOIDC Kevin Edward Boeringer

Individual

Camp Lejuene

Apo, AA

1265021034

IDC Troy D Holton

Individual

Bldg H-1

Fpo, AA

1922684422

Eric Alexander Archuleta

Individual

1st Marine Raider Battalion, Marine Raider Regiment

555341

Apo, AA

1558944249

Connor Sean Tracey

Individual

3d Recon Bas Unit 36180 Fpo Ap

Apo, AA

1184393506

MR. SOIDC Benjamin Cornelius Donnelly

Individual

2d Mardiv

2d Reconnaissance Bn

Apo, 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