Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 100

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Independent Duty Corpsman Providers

NPI Name Type Address

1174591903

MR. Hector Luis Ortiz II

Individual

5959 Fort Caroline Rd

Apt 3104

Jacksonville, FL

1578531992

IDC L.v. Hall JR.

Individual

Uss Samuel B. Roberts (ffg 58)

Fpo Aa

Mayport, FL

1982667804

IDC Robert Lee King

Individual

Naval Branch Health Clinic

2104 Massey Avenue,

Mayport, FL

1922061142

IDC Robert Todd Powell

Individual

14090 Crestwick Dr E

Jacksonville, FL

1477505733

IDC Cindy Marie Cook

Individual

6000 W Highway 98

Pensacola, FL

1720123391

Todd Christopher Wilson

Individual

7520 Transom Ct

Tampa, FL

1659598274

John C. Devine

Individual

Cgc Vigilant (wmec-617)

9235 Grouper Road

Port Canaveral, FL

1194947507

MR. IDC Torsak Vimoktayon

Individual

1147 Mayport Landing Cir

Atlantic Beach, FL

1598987935

MS. IDC Debra A Lancaster

Individual

13201 Companion Ct

Jacksonville, FL

1760695431

MR. IDC Corey J Seymour

Individual

4837 Mccall Ln

Panama City, FL

1619189198

MR. IDC Joseph Lionel Rivas SR.

Individual

2080 Child St

Jacksonville, FL

1528274438

IDC Francisco Javier Hernandez Iglesias

Individual

2080 Child St

Jacksonville, FL

1336342591

MR. IDC Michael Jesse Lewis

Individual

321 Bullfinch Rd

Panama City, FL

1215130414

MR. IDC James Thomas Brawley

Individual

321 Bullfinch Rd

Panama City, FL

1699972836

MR. SFIDC Sean Lee Brown

Individual

304 N Mccarthy Ave Ste 117

Nacscoleod

Eglin Afb, FL

1760672364

MR. SFIDC Alfonzo L Jacobs

Individual

707 Moss St

Wildwood, FL

1144417940

MR. SFIDC Jeffrey Scott Coslett

Individual

Uss Underwood (ffg 36)

Medical Department

Fpo Aa, FL

1528257938

Charles J. Favela

Individual

100 Trumbo Point

Key West, FL

1003092610

MRS. Nikki G Sims

Individual

1219 Las Cruces Dr

Winter Springs, FL

1922076827

MR. IDC Dion Ericson Blake

Individual

Uss John L. Hall

Fpo Aa 34091

Jacksonville, FL

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