Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 12

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Independent Duty Corpsman Providers

NPI Name Type Address

1689727539

MS. Elaine A. Jergons

Individual

Building N-46

Kodiak, AK

1609914449

Adam D Cravey

Individual

Building N-46 Cape Sarichef

Kodiak, AK

1598807588

Juan C Guevara

Individual

Building N-46 Capesarichef

Kodiak, AK

1306971650

HS1 Aide' Rodriguez Marcontell

Individual

1980 Anchorage Port Rd

Msst Anchorage (91111)

Anchorage, AK

1730223462

MR. John Franklin Wendelschaefer JR.

Individual

709 W 9th St

Suite 627

Juneau, AK

1336371574

CHP Caroline Kankanton Finney

Individual

3380 C. Street

Suite 100

Anchorage, AK

1114000130

HS1, IDC Jedidiah E. Johnson

Individual

4688 Homer Spit Rd

Homer, AK

1255832069

SFIDC Johnathan Gunn

Individual

200 Albatross Ave. Bldg N46

P.o. Box 190651

Kodiak, AK

1235800749

INDEPENDENT DUTY HS Eugene Thomas Pryka

Individual

500a Sentinel Island Ave

Kodiak, AK

1588327258

IDHS Nathan Goodrich

Individual

105 Clifton Ave.

Valdez, AK

1730843673

IDHS Paul Anthony Cavalier

Individual

C. Street Bldg 26

Kodiak, AK

1578140349

Todd Patrick Wilson

Individual

1480 Seward Ave

Sitka, AK

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