Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 1,105
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. INDEPENDENT DUTY HM Andy Burnett |
Individual |
17144 Ruette Campana San Diego, CA |
|
|
IDC Reginald Alano Demapelis |
Individual |
1510 Circulo Brindisi Chula Vista, CA |
|
|
MRS. IDC Jennifer Ann Solano |
Individual |
210735 Camp Del Mar Camp Pendleton, CA |
|
|
MR. SOIDC Travis Michael Walker |
Individual |
1st Marine Special Operations Battalion Medical Department Camp Pendleton, CA |
|
|
SF IDC Lazaro Santos |
Individual |
5201 Champlain St Oceanside, CA |
|
|
IDC Douglas Matthew Mclaughlin |
Individual |
Dry Side 32nd Street Naval Base Bldg 3300 San Diego, CA |
|
|
IDC Charissa Maria Czarniawski |
Individual |
Smo Mag 39 Medical Cg Thirdmaw Box 555750 Camp Pendleton, CA |
|
|
MR. SOIDC Justin Andrew Wilson |
Individual |
1st Marine Special Operations Battalion Medical Department Camp Pendleton, CA |
|
|
MR. IDC Richard Wesley Hoover |
Individual |
21 Abmc Naval Hospital Camp Pendleton, CA |
|
|
Kelly A Campbell |
Individual |
34101 Farenholt Ave Bldg 14 Rm 230 San Diego, CA |
|
|
MR. SOIDC Andrew Owen Warner |
Individual |
1st Marine Special Operations Bn. Medical Box 555341 Camp Pendleton, CA |
|
|
MR. HMC, IDC, USN James Steven Carbone |
Individual |
Surface Warfare Medical Institute 34101 Farenholt Ave San Diego, CA |
|
|
MR. Benedict Jovellano Jacob |
Individual |
1 Hooper Blvd Imperial Beach, CA |
|
|
Trevor Strobel |
Individual |
2144 Clement Ave Alameda, CA |
|
|
IDC Augustine Osegbe Osazuwa |
Individual |
35485 Evening Glow Dr Murrieta, CA |
|
|
IDC Robert W Gorman Balasco |
Individual |
Naval Medical Ctr 34800 Bob Wilson Drive San Diego, CA |
|
|
USN/IDC Joe A Powell |
Individual |
3502 Attu Rd Bldg 326 San Diego, CA |
|
|
MRS. IDC Doreen E Lehner |
Individual |
Medical Treatment Facility Usns Mercy T Ah 19 Fpo Ap, CA |
|
|
MISS IDC Amanda E Wardleigh |
Individual |
1st Medical Battalion Camp Pendleton, CA |
|
|
MR. IDC Joshua Roman Smith |
Individual |
34101 Farenholt Ave Bldg 14 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 |