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

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Independent Duty Corpsman Providers

NPI Name Type Address

1639440282

MR. IDC Alexander Christian Erickson

Individual

Uss Sioux City (lcs 11) (gold)

2480 Bon Hommes Richard Street

Jacksonville, FL

1790154813

IDC Franklin Paul Mccullough

Individual

Bon Homme St Bldg 2480

Jacksonville, FL

1740803725

IDC Alanna Gonzalez

Individual

1453 Lindseys Crossing Dr

Jacksonville, FL

1194140079

MR. SFIDC Tomas Edward Camblor

Individual

Lcsron2

Bon Homme Richard Street Building #2480

Jacksonville, FL

1184057077

MR. IDC Michael Shane Vogel

Individual

2480 Bon Hommes Richard Street

Jacksonville, FL

1134594245

Luis Figueroa

Individual

Lcsron Two

2480 Bonhomme Richard St

Jacksonville, FL

1023546108

IDC Gregory Donald Willden

Individual

Bon Homme Richard St

Bldg 2480

Jacksonville, FL

1598001257

MR. IDC Wayne Partin

Individual

2480 Bon Hommes Richard St

Jacksonville, FL

1063853422

MR. Michael Anthony Lejeune

Individual

Bonhomme Richard St.

Bldg 2480

Jacksonville, FL

1659727444

IDC Michael Phoenix Mcfarland

Individual

898 Enterprise St Unit A

Jacksonville, FL

1992476675

IDHS Maritere Fortier

Individual

15100 Rescue Way

Clearwater, FL

1386315075

MRS. IDHS Monica Sanchez

Individual

14750 Nw 44th Ct

Opa Locka, FL

1619648219

Vincent Carraccio

Individual

29050 Coral Sea Blvd Bldg 718

Homestead, FL

1437820032

IDHS Alejandro Javier Romero

Individual

9235 Grouper Rd # 617

Cape Canaveral, FL

1619648011

IDHS Dustin Bentley Kinney

Individual

9235 Grouper Rd

Cape Canaveral, FL

1407528433

MR. IDHS, ACLS, PALS Benjamin Thomas White

Individual

211 South Ave

Pensacola, FL

1609539469

Adam Saint Martins

Individual

Uscgc Valiant (wmec-621)

Navsta Mayport

Jacksonville, FL

1619550910

IDC Haley Emma Vaccaro

Individual

2104 Massey Ave

Mayport, FL

1487170411

NAVY IDC Javier Lopez

Individual

350 Crag Rd

Panama City Beach, FL

1326760661

Jose Eduardo Mosquera La Torre

Individual

211 South Ave Ste G

Pensacola, 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