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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245498484

MR. NAVY IDC Gerald Lee Fitzgerald JR.

Individual

Surface Warfare Medicine Institute

3401 Farenholt Avenue

San Diego, CA

1871828723

IDC Seth T. Secrease

Individual

Naval Clinic Port Hueneme

162 1st St

Port Hueneme, CA

1467784314

IDC Bernard Spraggins

Individual

140 Sylvester Rd

Building 5

San Diego, CA

1023330453

IDC Randall Bruce Durgin

Individual

3325 Senn Rd

Bldg 55 Medical Dept

San Diego, CA

1760579577

IDC Darrell Timpa

Individual

Swmi

34101 Farenholt Ave

San Diego, CA

1134445414

MS. Elizabeth Anne Plettner

Individual

162 1st St

Port Hueneme Cbc Base, CA

1720226160

MR. SFIDC Kimo Greg Lee

Individual

Bld 601 Mccain Bldg

Branch Medical Clinic Naval Base Coronado

San Diego, CA

1326367764

MR. IDC Matthew James Finley

Individual

2348 Trident Way

San Diego, CA

1306167366

IDC Jason Seeforth

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1619298494

MR. IDC Oskar Daniel Leyva

Individual

7983 Bellflower Dr

Buena Park, CA

1396057683

IDC Manuel Valle

Individual

910 Del Dios Hwy Apt 97

Escondido, CA

1215249511

Katie Ellen Henry

Individual

1169 Emily St

Redlands, CA

1245542364

SFIDC Kimberly Leeniese Chavez

Individual

2450 Craven St

Branch Medical Clinic Naval Station Bldg 3300

San Diego, CA

1912219791

MR. IDC Salvador Alindada Vallebo JR.

Individual

7914 Gaylen Rd

San Diego, CA

1912210741

MR. SFIDC Arcie Zamora Santos

Individual

937 Franklin Blvd

Lemoore, CA

1518270289

IDC Erik Brandon Saunders

Individual

34101 Farenholt Ave

Bldg 14

San Diego, CA

1558675652

MR. SOIDC John Lawrence Murray

Individual

1st Msob Medical Department

Box 555341

Camp Pendleton, CA

1295040426

Linda Anona Farmer

Individual

Bldg 601 Mccain Blvd Bmc Naval Base Coronado

San Diego, CA

1104131077

MR. IDC Edgar M. Santiago

Individual

Surface Warfare Medicine Inst

34101 Farenholt Ave

San Diego, CA

1154637759

MR. Geoffrey Winston Busscher

Individual

Expeditionary Health Services Bldg 116

3985 Cummings Rd. Suite 4

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...

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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