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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IDC Ryan Matthew Woody |
Individual |
25 Broad Street Ext Apt B3-4 Groton, CT |
|
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Keith Maurice Connor II |
Individual |
Naval Undersea Medical Institute Box 159 Subase Nlon Groton, CT |
|
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IDC John Allan Connors |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
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SUBIDC Arturo Leonardo Ignaco Siongco |
Individual |
159 Trout Ave Grotn, CT |
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MR. IDC Michael Charles Stewart JR. |
Individual |
159 Trout Avenue Groton, CT |
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Miguel Angel Roman |
Individual |
35 Union St Apt. 521 New London, CT |
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MR. Dien Tang |
Individual |
159 Trout Avenue Groton, CT |
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I.D.C. Joseph Robert Raska |
Individual |
100 Michigan Dr Groton, CT |
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MR. IDC David Thomas Wright |
Individual |
1 Wahoo Ave Bldg 449 Groton, CT |
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SUB IDC John David Clelland III |
Individual |
1 Wahoo Ave Groton, CT |
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SUBIDC Daniel Adam Kilhefner |
Individual |
1 Wahoo Ave Bldg 449 Box 600, Naval Submarine Base New London Groton, CT |
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SUB IDC Allan Whitney |
Individual |
327 Ohio Ave Groton, CT |
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SUBIDC Matthew Carter |
Individual |
1 Wahoo Ave Groton, CT |
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SUBIDC Alexander Rafael Sanchez |
Individual |
1 Wahoo Ave Groton, CT |
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MR. Michael Paul Dorris |
Individual |
16 Division St Apt 1s Groton, CT |
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Matthew Biecker |
Individual |
1 Colby Dr Unit 1 Ledyard, CT |
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MR. IDC Frederick James Chard IV |
Individual |
55 South Rd Apt 4b Groton, CT |
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Jared Stuttle |
Individual |
246 Ohio Ave Groton, CT |
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MR. IDC Rodney Harvey |
Individual |
220 Route 12 Suite 5 Groton, CT |
|
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NAVY SUBMARINE IDC Edgar Cuapio |
Individual |
228 Pelican 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 |