Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 40

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Independent Duty Corpsman Providers

NPI Name Type Address

1952587222

SUB IDC Dmaurier Barnhart

Individual

881 Uss James Madison Rd

Kings Bay, GA

1477521458

MR. Edward Vincent Kay

Individual

881 Uss James Madison Rd

Kings Bay, GA

1083707327

MR. IDC Robert Anthony Bicanovsky

Individual

881 Uss James Madison Rd

Kings Bay, GA

1528047966

HS Danielle Mae Buffington

Individual

1297 N Lightning Rd

Hunter Army Airfield

Savannah, GA

1578592838

SUBMARINE IDC Eric Windsor Larson SR.

Individual

580 Uss Mariano G Vallejo Ave

Nssc Medical Kings Bay

Kings Bay, GA

1194935098

IDC James H Akin

Individual

580 Uss Mariano G Vallejo Ave

Kings Bay, GA

1275717092

IDC Michael Arnez Leggett

Individual

1063 Uss Georgia Ave

Commander Submarine Group Ten

Kings Bay, GA

1871554287

MR. I.D.C Jeffrey Scott Martin

Individual

881 Uss James Madison Rd

Kings Bay, GA

1245416585

MR. Ryan Edward Sanford

Individual

814 Radford Blvd

20328

Albany, GA

1932318797

IDC John Lee Pettry

Individual

881 Uss James Madison Road

Branch Health Clinic Kings Bay

Kings Bay, GA

1124425376

Cody Williams

Individual

2198 Old Groveland Rd

Pembroke, GA

1295105773

IDC Christopher Lamar Davis

Individual

3665 Cherry Ridge Blvd

Decatur, GA

1952761959

IDC John David Pascual

Individual

814 Radford Blvd

Bldg 7000

Albany, GA

1588187314

IDC Andrew Thomas Wemlinger

Individual

1061 Uss Tennessee Ave

Kings Bay, GA

1659554400

MR. SSIDC Sean Thomas Sengiawasa Meadors

Individual

881 Uss James Madison Rd

Kings Bay, GA

1033639752

MR. IDC Ryan Charles Romer

Individual

814 Radford Blvd Ste 20328

Albany, GA

1619916186

MR. IDC Jonathan Blackmon

Individual

603 Wild Grape Dr

Saint Marys, GA

1528721412

Alexandra L Richey

Individual

563 Point Peter Rd

Saint Marys, GA

1992447270

IDC Beatriz E. Byers

Individual

1050 Uss Georgia Ave

Kings Bay, GA

1063154888

MR. IDC, MLT, ASCP (CM) Bruce Nemours Nunez

Individual

881 Uss James Madison Rd Bldg 1028

Kings Bay, GA

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