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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David Farque |
Individual |
124 Locust Cir Groton, CT |
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Frederick M Lomasney III |
Individual |
1 Wahoo Ave Groton, CT |
|
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MR. IDC Aaron David Levy |
Individual |
Naval Undersea Medical Institute 159 Trout Ave Navsubase Nlon Groton, CT |
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MR. IDC George K Grant |
Individual |
195 Michelle Ln Apt 304 Groton, CT |
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MR. IDC Andrew D. Bickham |
Individual |
159 Trout Avenue Groton, CT |
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MR. IDC Benjamin John Grover |
Individual |
159 Trout Avenue Groton, CT |
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MR. IDC Randall Frederick Dierking JR. |
Individual |
1 Wahoo Ave Undersea Medicine Groton, CT |
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MR. IDC Richard R Tapia |
Individual |
32 Arrowood Dr Groton, CT |
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MR. IDC Daniel Michael Schmitt |
Individual |
227 Route 163 Uncasville, CT |
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MR. IDC Jeremiah Loius King |
Individual |
141 Dewey Ave Groton, CT |
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IDC Jeffrey Alan Klimczak |
Individual |
159 Trout Groton, CT |
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MR. IDC Tristan J Thomas |
Individual |
116 Driftwood Cir Groton, CT |
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MR. IDC Darby Francis Meagher |
Individual |
90 Georgia St Groton, CT |
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IDC Andrew Lee Blalock |
Individual |
97 W Main St Apt 47 Niantic, CT |
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SUB IDC Andre Jerome Marin |
Individual |
17 Cypress Ln Groton, CT |
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MR. IDC Adam Clinton Ray |
Individual |
163 Ledgewood Rd Apt 405 Groton, CT |
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MR. IDC Simon Matthew Makuchowski |
Individual |
4 Oakridge Dr Gales Ferry, CT |
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MR. IDC Mark Haley Johnson |
Individual |
Nlon Medical Department Bldg 76 Naval Submarine Base Groton, CT |
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MR. IDC Matthew John Mitchell |
Individual |
138 Burningtree Dr Groton, CT |
|
|
MR. IDC Anthony Joseph Okrie |
Individual |
378 Burningtree Dr Groton, 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 |