Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 1,105
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Mario Oswaldo Martin |
Individual |
2446 Trident Way San Diego, CA |
|
|
MR. IDC Michael Tad Garritson |
Individual |
2446 Trident Way Medical Clinic San Diego, CA |
|
|
IDC Edward J Biggs |
Individual |
2446 Trident Way Medical Department Nswc San Diego, CA |
|
|
Scott Robert Hantsch |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
IDC Wayne Carleton Johnson |
Individual |
Naval Hospital Box 788250 Twentynine Palms, CA |
|
|
IDC Mark L Williamson |
Individual |
3325 Senn Road Comdesron One Building 55 Second Floor San Diego, CA |
|
|
MR. IDC Allen James Laheist |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
MR. OTHER Fernando Juarez |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
SFIDC Armando Gonzalez |
Individual |
Macg-38 Medical San Diego, CA |
|
|
Kenneth Richard Murphy JR. |
Individual |
Psc 474 Box 5902 Fleet Post Office, CA |
|
|
MR. IDC Matthew Donald Cochrane |
Individual |
19871 Bauer Rd Branch Medical Clinic Mcas Miramar San Diego, CA |
|
|
Jeff Cavallo |
Individual |
34101 Farenholt Ave Naval School Of Health Science (sfidc) San Diego, CA |
|
|
IDC Mike Cockrill |
Individual |
Underwater Construction Team 2 4643 Dock Road, Bldg 524 Port Hueneme, CA |
|
|
NAVY IDC Jared James Goodrow |
Individual |
34101 Farenholt Ave Naval School Of Health Sciences San Diego, CA |
|
|
MS. INDEPENDENT DUTY COR Amber Nicole Floyd |
Individual |
Branch Medical Clinic Miramar 2496 Mitchner Wy San Diego, CA |
|
|
Carlos Hiram Rosario |
Individual |
2650 Stockton Rd San Diego, CA |
|
|
Gregory Allen Davis |
Individual |
Us Naval Hospital Psc 475 Ap, CA |
|
|
MR. IDC Nathaniel Mark Jones SR. |
Individual |
One Dispensary Rd Bldg 5 Pt Mugu Nawc, CA |
|
|
MR. IDC David Keiki Mai Lani Louis Haley SR. |
Individual |
800 Seal Beach Blvd Bldg 77 Seal Beach, CA |
|
|
Mark Bjornson |
Individual |
Regional Support Organization 3325 Senn Rd, Suite 7 San Diego, CA |
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...
| 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 |