Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 80
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Kelly Michael Miller |
Individual |
Commanding Officer Medical Company Cssg-3 Box 63067 Mcbh Kaneohe Bay, HI |
|
|
MR. Michael James Haughey |
Individual |
822 Clark St Suite 400 Pearl Harbor, HI |
|
|
MR. IDC Jeffrey Douglas Fisher |
Individual |
2709 Apt A Cushman Ave Kailua, HI |
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|
IDC Michael Duane Smaltz |
Individual |
55a Savo Dr Wahiawa, HI |
|
|
IDC Conrado Obias Manganti JR. |
Individual |
2073b Campion Dr Kailua, HI |
|
|
Elijah Litchfield |
Individual |
94-292 Kahualena St Waipahu, HI |
|
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MR. IDC Eulogio Quintos Gutierrez |
Individual |
1058 Middaugh Street Kaneohe Bay, HI |
|
|
MR. IDC Joseph David Matthews III |
Individual |
4711 Nevada St Honolulu, HI |
|
|
MR. IDC Mark William Goldschmidt |
Individual |
Building 9, Schofield Barracks Schofield Barracks, HI |
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|
Corey Lee Mccloud |
Individual |
Navy Health Clinic Hawaii Makalapa Family Pratice Clinic Pearl Harbor, HI |
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IDC Robert Andrew Kirk |
Individual |
2001 Victor Wharf Access Road Seal Delivery Vehicle Team One Pearl City, HI |
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|
IDC Daniel Lee Mayberry |
Individual |
3d Mardiv Det Regimental Aid Station M C B H Kaneohe Bay, HI |
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|
MR. SUBMARINE IDC Terrence Anthony Dugay I |
Individual |
5090 Likini St East Tower Unit# 1502 Honolulu, HI |
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MR. SUBMARINE IDC Michael J. Rodriguez |
Individual |
822 Clark St. Nssc Medical Suite 400 Pearl Harbor, HI |
|
|
MR. IDC/RHO Keith Allen Laubinger |
Individual |
1210 Battleship Dr Unit # 132 Pearl Harbor, HI |
|
|
IDC Mark Alan Schuchard |
Individual |
4182 Hamehame St Kailua, HI |
|
|
Uss Pasadena(ssn752) |
Organization |
888 Murray Dr Honolulu, HI |
|
|
MR. IDC Ronald Bruce Rutherford |
Individual |
850 Ticonderoga St Ste 110 Pearl Harbor, HI |
|
|
MR. IDC Joshua Seth Nudelman |
Individual |
2001 Victor Wharf Access Rd Bldg 987 Pearl City, HI |
|
|
MR. SOIDC Stephen Robert Way |
Individual |
2001 Victor Warf Access Rd Pearl City, 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...
| 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 |