Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 157
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
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MR. David Andrew Peterson JR. |
Individual |
Nomi Det Numi Submarine Base Nlon Building 159 Groton, CT |
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SFIDC Roy L Underwood |
Individual |
1 Wahoo Ave Groton, CT |
|
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John Reed |
Individual |
141 Trout Ave Navsubase Nlon Groton, CT |
|
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IDC Jeffrey Lynn Mcgregor |
Individual |
1 Wahoo Ave Undersea Medicine Groton, CT |
|
|
MR. David Sisto |
Individual |
109 Asher Ave Pawcatuck, CT |
|
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HM1 David Weldon Himes |
Individual |
Naval Undersea Medical Institute Bldg 159 Groton, CT |
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Matthew Lyons Dalton |
Individual |
33 Pinecrest Rd North Stonington, CT |
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NAVY IDC Joshua O Balter |
Individual |
1 Wahoo Ave Subase Nlon Groton, CT |
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IDC Jared E. Akers |
Individual |
1 Wahoo Drive Subace Nlon Groton, CT |
|
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IDC Daniel Curtis Roberts |
Individual |
159 Trout Ave Groton, CT |
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MR. Mark Mammoth |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
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MR. Karl Frederick Schriever |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
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IDC Michael Nutt |
Individual |
Bldg 517 Taugtog Ave Navsubscol Groton, CT |
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IDC US NAVY Charles Scott Vancuren |
Individual |
73 Eastern Point Road Uss Missouri Ssn 780 Groton, CT |
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MR. HMC SS FMF IDC Brandon Lyle Lindbeck |
Individual |
Naval Unsersea Medical Institute 159 Trout Ave Navsubase Nlon Groton, CT |
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Michael Napolitano |
Individual |
Building 76 2nd Deck Naval Submarine Base Nlon Naval Submarine Support Center Groton Groton, CT |
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MR. HMC Mark Francis Jarvis |
Individual |
Nssc Nlon Bldg 76 Groton, CT |
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IDC Aaron Prestelle Mcknight |
Individual |
4 Buckeye Rd Groton, CT |
|
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IDC David Wayne Ballard |
Individual |
Naval Undersea Medical Institute Submarine Base Groton, CT |
|
|
IDC Randy A Gallogly |
Individual |
26 Baltic Rd North Franklin, CT |
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 |