Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 157

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Independent Duty Corpsman Providers

NPI Name Type Address

1043502701

MR. SUBMARINE IDC Norman Steven Reeves

Individual

159 Trout Ave.

Groton, CT

1508153511

MR. Adam Dickinson Snook

Individual

13 Lakeside Dr

Unit O

Ledyard, CT

1194003236

IDC Michael Anthony Bindner

Individual

28 Arrowood Drive

Groton, CT

1205115854

MR. IDC Romualdo Humarang JR.

Individual

43 Burningtree Dr

Groton, CT

1104105568

MR. IDC Matthew Cody Mcneely

Individual

96 Michigan Drive

Groton, CT

1053692657

MR. Jose Luis Delgado III

Individual

244 Ohio Ave

Groton, CT

1629345368

MR. IDC Christopher Daniel Garner

Individual

108 Deerwood Dr

Groton, CT

1407124340

IDC Michol Ranada

Individual

67 Poplar Rd

Groton, CT

1295092385

MR. IDC Philip Leslie Oppliger

Individual

157 Trout Ave

Naval Undersea Medical Institute

Groton, CT

1407114622

MR. Joseph John May

Individual

159 Trout Blvd

Groton, CT

1356600027

MR. IDC Jonathon Wayne Waite

Individual

159 Trout Ave

Groton, CT

1407116965

Carl Branyon Coker

Individual

91 Hornbeam Rd

Groton, CT

1558627802

Leonardo Lewis Farin-medina

Individual

159 Trout Ave, Bldg. 86

Numi, Naval Submarine Base, New London

Groton, CT

1013264423

INDEPENDENT DUTY HM Dennis Buenaventura Custodio

Individual

69 Trout Ave

Naval Undersea Medical Institute

Groton, CT

1669721221

MR. David F. Crawford

Individual

10 Overlook Ave

Mystic, CT

1588913008

MR. IDC Dennis Raymond Sanders JR.

Individual

67 Hornbeam Rd

Groton, CT

1972852713

Felipe Rios

Individual

41 Magnolia Dr

Groton, CT

1346590015

IDC Manuel Lozano

Individual

42 Poplar Rd

Groton, CT

1295085330

MR. Allyn Patrick Brown

Individual

36 Midway Oval

Groton, CT

1477899946

Kareem Ferguson

Individual

8 Rhode Island Ln

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...

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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