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

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Independent Duty Corpsman Providers

NPI Name Type Address

1427139245

Patricia Loomis

Individual

3325 Senn Rd

San Diego, CA

1679654016

MR. IDC Charles Albert Williams

Individual

3455 Sturtevant St

Suite 1

San Diego, CA

1588743413

MS. IDC Angela Faye Garritson

Individual

Uss Higgins Ddg-76

San Diego, CA

1396814836

MR. MS Alberia Joseph Davis

Individual

Pcd Sampson (ddg-102)

3975 Norman Scott Rd

San Diego, CA

1851461610

IDC Paul D Loomis

Individual

Naval Coastal Warfare Group One

Nolf Ib 357140

San Diego, CA

1396817565

IDC Steven Wyatt Twilleager

Individual

Naval Coastal Warfare Squadron Five

San Diego, CA

1710036678

MR. Eugene Robert Mason

Individual

Bldg 42 Coast Guard Island

Alameda, CA

1790835742

MR. IDC Felizardo Bacaro Tria

Individual

1145 Sturgis Street

Naval Hospital

Twentynine Palms, CA

1487707840

IDC Danielle Tabitha Tuton-gillette

Individual

2650 Stockton Rd

San Diego, CA

1699825497

MR. IDC Corey Mitchell Miller

Individual

Naval Hospital Twentynine Palms Bldg 1145 Sturgis St.

Twentynine Palms, CA

1265585640

IDC James H Martin

Individual

2650 Stockton Rd

San Diego, CA

1770638413

MR. HS Rocky James Gipson

Individual

Uscgc Bertholf (wmsl-750)

Coast Guard Island

Alameda, CA

1295872232

IDC Byron Pack

Individual

533020 Basoline Rd

Camp Horno

Camp Pendleton, CA

1922140698

HS Timothy Hamilton Estes

Individual

417 Utah Dr Apt D

Petaluma, CA

1447387147

MR. IDC Rodney Scott Ruth JR.

Individual

Bldg 1145 Sturgis Street

Twentynine Palms, CA

1437281888

HS Naomi Velazquez

Individual

411 Pennsylvania Ave # B

Petaluma, CA

1780708982

IDC Joseph Solon Richey

Individual

Bldg 1145 Sturgis Street

Naval Hospital Attn Professional Affairs

Twentynine Palms, CA

1497977839

MR. IDC Jeffrey Allen Tice

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1619181534

MR. IDC Mark Conway Valencia

Individual

34101 Farenholt Ave Bldg 14

San Diego, CA

1699987446

MR. IDC Jason Harold Henry

Individual

34101 Farenholt Ave

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