Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 100
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
Paris Dunomes |
Individual |
2080 Child St Jacksonville, FL |
|
|
IDC Bufford Christopher Dotson JR. |
Individual |
Naval Hospital 2080 Child St Jacksonville, FL |
|
|
MR. IDC Daniel Joseph Bornstein |
Individual |
H1 Julian C Smith Camp Lejeune, FL |
|
|
MR. IDC John Christopher Sims |
Individual |
2080 Child St Jacksonville, FL |
|
|
MR. IDC Eugene Johnson |
Individual |
2080 Child St Naval Air Station Jacksonville, FL |
|
|
IDC William David Larson |
Individual |
350 South Crag Rd. Panama City, FL |
|
|
MR. IDC William Fitch Montfort IV |
Individual |
101 Vernon Ave Bldg 89-a Panama City Beach, FL |
|
|
IDC Michael James Holmes |
Individual |
Naval Hospital Jacksonville Attention Emergency Department Jacksonville, FL |
|
|
Gerald Derand Jackson |
Individual |
2104 Massey Ave Jacksonville, FL |
|
|
MR. IDC Christopher Anthony Trivino |
Individual |
2005 Knight Lane Bldg.h Navy Medicine Support Command, Attn: Mssd Jacksonville, FL |
|
|
David Joshua Mayer |
Individual |
6213 Aviation Ave Uscg Hitron6213 Bldg 1846 Jacksonville, FL |
|
|
IDC James Ryan Pitts |
Individual |
2005 Knight Lane Bldg. H Navy Medicine Support Command Jacksonville, FL |
|
|
IDC Bradley Reinalda |
Individual |
2170 Enterprise Osteen Rd Deltona, FL |
|
|
IDC Scott Allan Roller |
Individual |
321 Bullfinch Rd Panama City Beach, FL |
|
|
Glen King |
Individual |
Bldg H. 2005 Knight Lane Navy Medicine Support Command Jacksonville, FL |
|
|
MRS. IDC Jennifer Linda Cuevas |
Individual |
304 N Mccarthy Ave Ste 117 Navscoleod Eglin Afb, FL |
|
|
NAVY IDC Rebecca Ann Brown |
Individual |
3092 Litchfield Dr Orange Park, FL |
|
|
IDC Michael Wade Faasen |
Individual |
321 Bullfinch Rd Panama City Beach, FL |
|
|
MR. IDC Garth Robert Alan Sinclair |
Individual |
350 Crag Rd Panama City, FL |
|
|
MR. IDC Wasim S Mohamed |
Individual |
2104 Massey Ave 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...
| 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 |