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

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Independent Duty Corpsman Providers

NPI Name Type Address

1043541964

MR. IDC Donald Eugene Holtzman

Individual

Uss Nebraska Ssbn 739 Gold

2100 Thresher Ave

Fpo, AP

1629309562

MR. NAVY IDC Jeremy Michael Miller

Individual

7th Esb Bas

Unit 42210

Fpo, AP

1740511260

Frank Gonzalez V

Individual

Nmcb 4

25284

Fpo, AP

1164753695

David Josef Voda

Individual

Uss Guardian Mcm-5

Fpo, AP

1962724542

I.D.C. Charles William Close

Individual

Uss Alabama (ssbn-731)(blue)

Fpo, AP

1184811820

IDC Renee Ann Langbein

Individual

Uss John C. Stennis Cvn 74

Medical Department Box 67

Fpo, AP

1174848683

Jack Thammavongsa

Individual

3d Med Bn, 3d Mlg

H&s Co Unit #38447

Fpo, AP

1992020853

IDC Angelia Nichole Dini

Individual

Uss Mccampbell Ddg 85

Fpo, AP

1922324276

MR. Mark Duane Gibson

Individual

Uss Louisville

Fpo, AP

1407007271

INDEPENDENT DUTY HM Valentino Salazar

Individual

Uss Albuquerque Ssn 706

Fpo, AP

1508079369

MR. IDC Jon Gaylord Gabbard

Individual

Uss Antietam Cg 54

Fpo, AP

1508170671

MR. IDC Nana Duah Owusuafriyie

Individual

Uss Denver Lpd 9

Attn: Hm1 Owusuafriyie

Fpo, AP

1083928865

MR. IDC Redencio D Mangohig JR.

Individual

Psc 475

Box 1294

Fpo, AP

1386959518

MR. Cheng A Tung

Individual

Psc 475

Box 1294

Fpo, AP

1568778157

MR. IDC Jake Levi Krause

Individual

Uss Bremerton (ssn 698)

Fpo, AP

1063728582

MR. IDC Daniel Charles Troy III

Individual

Uss Curts Ffg 38

Medical Department

Fpo, AP

1225344401

MR. SFIDC Ramone Dalane Resop

Individual

Mcm Crew Fearless

Fpo, AP

1336455443

IDC Purvis Quintin Williams

Individual

Uss Independence Lcs 2

Apo, AP

1104134170

SFIDC Lennis Darrin Mcnutt

Individual

Uss Benfold Ddg 65

Medical Department

Fpo, AP

1750681854

Leslie Ansag

Individual

Uss Chafee

Medical Department

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