Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 80
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
William A Talbott |
Individual |
850 Ticonderoga St Pearl Harbor, HI |
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INDEPENDENT DUTY COR Michael Winkle |
Individual |
3d Marine Regiment (-) (rein) (ras) Box 63005 Mcbh Kaneohe Bay, HI |
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MR. IDC Carlos Antony Rodriguez |
Individual |
92- 958 Panana Street Unit 22 Kapolei, HI |
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Jay Domingo |
Individual |
92-530 Palailai St Kapolei, HI |
|
|
MR. HM Steven Alan Kelly-stahlnecker |
Individual |
Commanding Officer 1st Bn 3d Marines 3d Marine Regiment Mcbh Regimental Aid Station Kaneohe, HI |
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Jonathan Cleek |
Individual |
Bldg 1181 Sumner Rd Kaneohe Bay, HI |
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MR. Enrique Martino |
Individual |
2001 Victor Wharf Access Rd Building 987 Pearl City, HI |
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IDC Jessica Larae Ramon |
Individual |
1 Jarrett White Rd Clb-3 Mcbh Tripler Army Medical Center, HI |
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MR. IDC Cory John Butler |
Individual |
310 Worchester Ave Bldg 45 Jbphh, HI |
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IDC Jose Israel Lopez |
Individual |
Mdsu-1 Bishop Point Building 17 Pearl Harbor, HI |
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IDC Darrius Anthrawe Cooley |
Individual |
5613 Bennion Ct Honolulu, HI |
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IDC Alex Joseph Valencia |
Individual |
3005 Glen Cove Kailua, HI |
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MR. IDC Michael Sampson Duff |
Individual |
2001 Victor Wharf Access Rd Bldg 995, Pearl City Peninsula Pearl City, HI |
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MR. SFIDC/8494 Shawn Wesley Lauer |
Individual |
545 Queen St #639 Honolulu, HI |
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IDC Amanda Nicole Larson |
Individual |
500 Center St Building 22 Wahiawa, HI |
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IDC Aaron Ricciarelli |
Individual |
2001 Victor Wharf Access Rd Pearl City, HI |
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IDC Timothy Layton |
Individual |
1016 Ulupau Loop Kailua, HI |
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Carlton Jacob Maughan |
Individual |
Bldg 17 Bishops Point Pearl Harbor, HI |
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MR. IDC Daniel Joseph Engelhardt |
Individual |
5435 Kilmer Ln Honolulu, HI |
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IDC Michael Keonisabino Aperto-apodaca |
Individual |
6844 Ormoc St Wahiawa, 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 |