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 Christopher Phillips |
Individual |
121 Orion Ave Groton, CT |
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Vernon Goodwin |
Individual |
102 Deerwood Dr Groton, CT |
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IDC Jakarta D. Crafton |
Individual |
15 Cypress Ln Groton, CT |
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Oscar Antonio Gonzalez |
Individual |
34 Plum Ln Groton, CT |
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MR. IDC Cory M Clifton |
Individual |
22 Arrowood Dr Groton, CT |
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Scott J Eggert |
Individual |
1 Crystal Lake Rd Naval Undersea Medical Institute Bldg 159 Groton, CT |
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Henry Ponce |
Individual |
Box 159 Navsubase Nlon Naval Undersea Medical Institute Groton, CT |
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IDC Andrew Dye |
Individual |
87 Burningtree Dr Groton, CT |
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MR. IDC David George Haynesnorton |
Individual |
5 Lake St Groton, CT |
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IDC Christopher Nunez |
Individual |
84 Ohio Ave Groton, CT |
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MR. IDC Adam Badillo |
Individual |
600 Meridian Street Ext Apt 1415 Groton, CT |
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IDC Robert Fitzgerald Burgos |
Individual |
Submarine Naval Base New London Box 159 Groton, CT |
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Jason Fekete |
Individual |
159 Trout Ave Naval Undersea Medical Institute Box 159 Navsubase Nlon Groton, CT |
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James Lawlor |
Individual |
1 Crystal Lake Rd Naval Undersea Medical Institute Bldg 159 Groton, CT |
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Austin Beaudean Lenzi |
Individual |
159 Trout Ave Groton, CT |
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Aaron Anderson |
Individual |
111 Buckeye Rd Groton, CT |
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MR. Davin Nicolas Laurell |
Individual |
50 Warner St Groton, CT |
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MR. IDC Martin Allen Shepherd |
Individual |
36 Deerwood Dr Groton, CT |
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IDC Richard B Jaremback |
Individual |
368 Pelican Dr Groton, CT |
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MR. IDC Matthew Kermit Lee |
Individual |
465 Trout Ave Numi 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 |