Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 80

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Independent Duty Corpsman Providers

NPI Name Type Address

1427025758

MS. Brenda Gail Solomon

Individual

94-215 Lumiaina Pl

Waipahu, HI

1861469231

MR. IDC Manuel Concepcion Arcangel

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1396712667

MR. IDC Richard Raul Torres

Individual

480 Central Ave

Pearl Harbor, HI

1417924887

MR. IDC Joseph Michael Kozakiewicz

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1245208107

Emilia Guerrero

Individual

480 Central Ave

Pearl Harbor, HI

1285698969

MR. IDC Manuel Contreras JR.

Individual

Uss Russell Ddg59

Pearl Harbor, HI

1740245091

John Thomas Renn

Individual

250 Makalapa Dr

Pearl Harbor, HI

1407898539

MR. IDC Michael Glen Peck JR.

Individual

822 Clark St

Suite 400

Pearl Harbor, HI

1891739496

IDC Darrin Ernest Way

Individual

2821 Anderson Ave

Honolulu, HI

1164466355

MR. US NAVY S-IDC Carlos Edwin Perezcastro

Individual

2nd Batallion 3rd Marines Batallion Aid Station

Box 63012

Mcbh Kaneohe Bay, HI

1376589077

NAVY IDC Craig Randolph Soleim

Individual

822 Clark St

Naval Submarine Support Command Medical

Pearl Harbor, HI

1831124007

MR. IDC MILITARY Michael Brian Sexton

Individual

Fpo Ap 96662-2418

Uss Columbus Ssn 762

Pearl Harbor, HI

1902993967

MR. IDC John Thomas Diem

Individual

2275 Doris Miller Loop Apt C

Honolulu, HI

1558440826

IDC David F Barnet

Individual

3d Marines Regimental Aid Station

Kaneohe Bay, HI

1609939875

MR. Patrick Warren Horgan

Individual

2nd Batallion 3rd Marines

Kaneohe Bay, HI

1023172004

Sam Phillip Turman

Individual

1st Battalioon 3d Marines 3d Mardiv Fmf

Heaedquarters And Service Company

Mcbh Kaneohe Bay, HI

1962522128

MR. Darwin Santiago Ramos

Individual

528 Mananai Pl

Unit 16a

Honolulu, HI

1609088830

IDC Michael James Bagley

Individual

4922 Kamehameha Loop

Honolulu, HI

1073725701

MR. IDC James Payne

Individual

1956c Gillespie Cir

Honolulu, HI

1124232434

IDC William David Triplett

Individual

480 Central Ave

Pearl Harbor, HI

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