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

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Independent Duty Corpsman Providers

NPI Name Type Address

1508006149

MRS. IDC Kathy Rebecca Sullivan

Individual

Msron Five Medical Department

Nolf Ib Building 169

San Diego, CA

1285875328

MR. IDC Allen Christopher Pate

Individual

Naval Operational Medicine Institute Building 632044

Detachment Naval Expeditionary Medical Training Inst.

Camp Pendleton, CA

1396988184

IDC Michael Joseph Sam

Individual

Swrmc 3601 Womble St

San Diego, CA

1124253208

MR. INDEPENDENT DUTY COR Rodolfo Guerrero

Individual

2051 Cushing Rd

San Diego, CA

1811122393

IDC Jason L Brock

Individual

2534 Trident Way

San Diego, CA

1316172752

IDC Jeremy L. West

Individual

2534 Trident Way

San Diego, CA

1407082969

MR. SFIDC Curtis Vincent Stoughton

Individual

34101 Farenholt Ave

San Diego, CA

1699901181

IDC James M Allan

Individual

34101 Farenholt Ave

San Diego, CA

1598954893

IDC Lejon J Jenkins

Individual

6555 Bullion Ave

Unit B

Twentynine Palms, CA

1376773200

INDEPENDENT DUTY COR John William Buehrer

Individual

34101 Farenholt Ave

San Diego, CA

1457584112

MR. IDC Ralph Duron

Individual

601 Mccain Blvd

San Diego, CA

1134352719

IDC Edinito Gulfan Purog

Individual

1888 Crossroads St

Chula Vista, CA

1467785907

MR. HM1 David Fisher

Individual

140 Sylvester Rd

San Diego, CA

1376877472

SFIDC Chelsee Renee Bavas

Individual

3038 E 6th St

National City, CA

1073793881

MR. IDC Michael Albert Arroyo JR.

Individual

1 Administration Cir Stop 1311

Bhc China Lake

Ridgecrest, CA

1841525789

IDC Ioana Lee Dunkley

Individual

Swmi Idc School

34101 Farenholt Ave

San Diego, CA

1194050922

IDC Cristi Anne Hallock

Individual

3292 Norman Scott Rd Ste 7

San Diego, CA

1033366232

MR. Jason William Beckford

Individual

Naval Medical Ctr

34800 Bob Wilson Drive

San Diego, CA

1093043051

IDC Erik Christian Ketelsen

Individual

4653 Dock Rd

Bldg 524

Port Hueneme, CA

1528397072

IDC Donald Dadson Delpilar

Individual

Clb-1 Headquarters Company

Box 555737

Camp Pendelton, 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