Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 1,105

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Independent Duty Corpsman Providers

NPI Name Type Address

1023073194

MR. Enrique Escapolar Dedios JR.

Individual

34800 Bob Wilson Dr

San Diego, CA

1417129370

MR. IDC Donald Reid Rosario

Individual

35000 Guadalcanal Ave

Bldg 596

San Diego, CA

1750553434

MR. IDC Clay Arthure Cooper

Individual

41256 Stuart Mesa Rd

Camp Pendleton, CA

1336353754

IDC Clarence Dean Conner

Individual

41883 Dahlias Way

Murrieta, CA

1316110075

IDC William Domingo Hernandez

Individual

1st Battalion 4th Marines Battalion Aide Station

Camp Pendleton, CA

1053584540

MR. IDC Craig Charles Rosario

Individual

Mcas Bmc Miramar

Bldg 2496, Bauer Rd.

San Diego, CA

1881646370

MISS IDC Catherine Antonie Kaufman

Individual

Naval Hospital Camp Pendleton

Directorate Of Surgical Services

Camp Pendleton, CA

1770757254

IDC Christian P Patchin

Individual

34800 Bob Wilson Dr

San Diego, CA

1407928377

SFIDC Kevin Scott Varner

Individual

Uss John S. Mccain Ddg-56

Fpo Ap, CA

1982810883

MS. IDC Robyn Marie Pierce

Individual

4417 Mount Everest Blvd

San Diego, CA

1043247091

MR. IDC Jason Thomas William Tetzlaff

Individual

3402 Tarawa Rd

Sbt-12

San Diego, CA

1992970735

Marrisa Antonia Mueller

Individual

13 Area Branch Clinic Bldg 13129

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1427223916

SFIDC Mark Dwayne Dykes

Individual

700 Colorado Dr

Hemet, CA

1124293477

IDC Erin Elizabeth Sutherland

Individual

35000 Guadalcanal

San Diego, CA

1366618183

MR. IDC US NAVY Roberto Judas Canton

Individual

35000 Guadacanal St

Bmc Mcrd Bldg 596

San Diego, CA

1144496670

MR. IDC Tijani Bamidele Abdulsalam

Individual

2450 Craven St

San Diego, CA

1043486418

MR. IDC Joshua David French

Individual

2450 Craven St

San Diego, CA

1447426663

MR. IDC James E Cook

Individual

35000 Guadalcanal St

Branch Medical Clinic Mcrd

San Diego, CA

1467629592

MR. IDC John William Richman

Individual

Bldg H100 Santa Margarita Rd

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1013184563

IDC Brett Dubois

Individual

Commanding Officer

Nhcp Box 555191

Camp Pendleton, 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...

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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