| NPI | Name | Type | Address |
|---|---|---|---|
|
MRS. IDC Kathy Rebecca Sullivan |
Individual |
Msron Five Medical Department Nolf Ib Building 169 San Diego, CA |
|
|
MR. IDC Allen Christopher Pate |
Individual |
Naval Operational Medicine Institute Building 632044 Detachment Naval Expeditionary Medical Training Inst. Camp Pendleton, CA |
|
|
IDC Michael Joseph Sam |
Individual |
Swrmc 3601 Womble St San Diego, CA |
|
|
MR. INDEPENDENT DUTY COR Rodolfo Guerrero |
Individual |
2051 Cushing Rd San Diego, CA |
|
|
IDC Jason L Brock |
Individual |
2534 Trident Way San Diego, CA |
|
|
IDC Jeremy L. West |
Individual |
2534 Trident Way San Diego, CA |
|
|
MR. SFIDC Curtis Vincent Stoughton |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC James M Allan |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Lejon J Jenkins |
Individual |
6555 Bullion Ave Unit B Twentynine Palms, CA |
|
|
INDEPENDENT DUTY COR John William Buehrer |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Ralph Duron |
Individual |
601 Mccain Blvd San Diego, CA |
|
|
IDC Edinito Gulfan Purog |
Individual |
1888 Crossroads St Chula Vista, CA |
|
|
MR. HM1 David Fisher |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
SFIDC Chelsee Renee Bavas |
Individual |
3038 E 6th St National City, CA |
|
|
MR. IDC Michael Albert Arroyo JR. |
Individual |
1 Administration Cir Stop 1311 Bhc China Lake Ridgecrest, CA |
|
|
IDC Ioana Lee Dunkley |
Individual |
Swmi Idc School 34101 Farenholt Ave San Diego, CA |
|
|
IDC Cristi Anne Hallock |
Individual |
3292 Norman Scott Rd Ste 7 San Diego, CA |
|
|
MR. Jason William Beckford |
Individual |
Naval Medical Ctr 34800 Bob Wilson Drive San Diego, CA |
|
|
IDC Erik Christian Ketelsen |
Individual |
4653 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
IDC Donald Dadson Delpilar |
Individual |
Clb-1 Headquarters Company Box 555737 Camp Pendelton, CA |
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 |