Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 227

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Independent Duty Corpsman Providers

NPI Name Type Address

1609830298

MR. IDC Gaspare Joseph Corrao

Individual

Commanding Officer

Attn: Senior Medical Department Representative

Fpo, AP

1063460210

MR. IDC Neilrose Laciste Gervacio

Individual

Camp Schwab Bmc

3d Med Bn, 3d Mlg, C Co

Fpo, AP

1316010788

NAVY IDC William Ryan JR.

Individual

Uss Fitzgerald

Fpo, AP

1275668899

MR. BS, IDC Mark C Dunham

Individual

Comdesron Fifteen

Psc 473 Box 108

Fpo, AP

1073647483

IDC David Joseph Viola

Individual

Naval Hospital Okinawa Japan

Psc 482 Box 1600

Fpo, AP

1699808683

MR. IDC Andrew Edwin Jones

Individual

Psc 557, Box 224

Fpo, AP

1467664862

IDC Stephen Eugene Rice

Individual

Uss Rentz Ffg-46

Fpo, AP

1053526012

MR. IDC Robert W. Miley

Individual

Uss Gridley (ddg 101)

Fpo, AP

1518173442

MRS. IDC Lisa Marie Rudy

Individual

Psc 475 Box 1

Fpo, AP

1760682405

IDC Louis A Brehm

Individual

Uss Rodney M Davis Ffg60

Fpo, AP

1740488485

MR. Devron John Felder

Individual

Naval Special Warfare Unit One

Psc 455 Box 182

Fpo, AP

1659562379

MR. SFIDC Bradford Douglas Lomba

Individual

Medical Department

Uss Ingraham Ffg-61

Fpo, AP

1265611032

IDC Alan R Krilevich

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

1073701983

IDC Eric Enoc Casasflores

Individual

Okinawa

Fpo, AP

1205015336

MISS Heather Marion Sheedy

Individual

Psc 466 Box 3

Fpo, AP

1568658482

Dexter Dancel Cabral

Individual

Psc 490 Box 7607

Fpo, AP

1578752697

Sherri Lee Bustamante

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

1316136435

MR. IDC Todd Everett Wende

Individual

Ccsg 5 Unit 25660

Fpo, AP

1043407224

MR. IDC Donald Asuncion Pangalangan

Individual

Psc 473 Box 16

Fpo, AP

1356529945

MR. Jeromy Miles Ortega

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

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