Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 152

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Fpo 145
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Independent Duty Corpsman Providers

NPI Name Type Address

1083880413

IDC Michael Don Weaver

Individual

Pc Crew Foxtrot 40266

Fpo, AE

1306003512

IDC Lawrence Walter Libengood III

Individual

2d Laad Bn Det A

Unit 78087 H&s Battery

Fpo, AE

1346400173

IDC Deloy Antonio Shaw

Individual

Mwss 274 2d Maw

Unit 78107

Fpo, AE

1154583052

MR. IDC Andrea V Zoto

Individual

Uss Mesa Verde

Lpd 19

Fpo, AE

1992968739

IDC Will Brogdon

Individual

Uss Nicholas

Ffg47

Fpo, AE

1619132669

MR. IDC Gordon David Bland JR.

Individual

Naval Submarine Base New London

Apo, AE

1184889743

Dana Thomas Woodward

Individual

Uss Hawaii Ssn-776

Fpo, AE

1417112566

MR. IDC Christopher John Yaras

Individual

Uss Hartford Ssn-768

Fpo, AE

1770749541

SUBMARINE IDC Earl Jason Wagner

Individual

Uss Pittsburgh Ssn-720

Fpo, AE

1548417843

MR. IDC Cameron Wayne Moffatt

Individual

Uss Forrest Sherman

Unit 23149

Fpo, AE

1164671640

MR. IDC USN Jason Zane Dillow

Individual

Patrol Coastal Crew Mike

Pc 2

Fpo, AE

1831385749

MR. IDC Timothy Douglas Bork

Individual

Psc 836 Box 512

Fpo, AE

1497904387

US NAVY IDC Douglas A Mullen

Individual

Uss Iwo Jima (lhd7)

Medical Department

Fpo, AE

1053560995

MR. IDC Thomas Carter Randolph

Individual

Uss Elrod Ffg 55

Fpo, AE

1215186861

IDC Jeremy Richard Schlotterer

Individual

Uss Typhoon Pc-5

Fpo, AE

1932359395

IDC Kerry Lee Barnett

Individual

Psc 827 Box 33

Fpo, AE

1003068214

MR. Leander Jostin Beams SR.

Individual

Uss Annapolis Ssn 760

Fpo, AE

1316199458

MR. Raymond F Meyers

Individual

Uss New Hampshire

Ssn 778

Fpo, AE

1801049556

MR. IDC Bruce Wayne Wilson JR.

Individual

Uss Nashville

Lpd 13

Fpo, AE

1750534947

MR. Martin A Howard

Individual

Psc 451

Box 340 Medical Cepartment

Fpo, AE

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