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

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Independent Duty Corpsman Providers

NPI Name Type Address

1649796244

Joshua I White

Individual

Bldg 4078 Harris Rd.

Mcbh Kaneohe Bay, HI

1003325366

IDC Justin Hesse

Individual

Building 17 Bishop Point

Pearl Harbor, HI

1942710348

IDC Joshua Matthew Godsey

Individual

2001 Victor Wharf Access Rd

Pearl City, HI

1821502683

Matthew Laurance Reagan

Individual

480 Central Ave

Jbphh, HI

1396218582

IDC Samantha Suzanne Pinon

Individual

1253 Makalapa Road

Honolulu, HI

1801445663

IDC Benjamin Jacob Gomez

Individual

2001 Victor Wharf

Pearl City, HI

1881226637

Carlos Bolivar Panchana

Individual

D St #3089

Kailua, HI

1508484882

MR. David Jason Brown

Individual

6255 Kaawa St

Kailua, HI

1205441888

William Andrew Fitzpatrick

Individual

Bldg 6905

Mcbh, HI

1215549670

MR. IDC Joseph Frabotta

Individual

6894r Mokapu Rd

Kailua, HI

1134759715

IDC David Maldonado Santiago

Individual

590 Moffet St

Jbphh, HI

1265968424

MR. IDC Alec James Carlson

Individual

455 Hornet Ave Ste 101

Jbphh, HI

1336561067

DMTIDC James Ladd Aldridge

Individual

455 Hornet Ave Ste 101

Jbphh, HI

1538752035

IDC STUDENT Joseph Martinez

Individual

Marine Corps Base Hawaii (mcbh)

Bldg 221

Kailua, HI

1427729912

MR. IDHS Earl Joseph Garrido JR.

Individual

400 Sand Island Pkwy

Honolulu, HI

1841962636

Sabrina Renee Stanley

Individual

400 Sand Island Pkwy

Honolulu, HI

1871170704

Robert M Okane

Individual

Bldg 17 Bishop Point

Pearl Harbor, HI

1740957158

Kyle James Pederson

Individual

6905 Harris Ave

Kailua, HI

1518603976

Eric Johnson

Individual

1 Coral Sea St

Kapolei, HI

1003570151

MR. IDC James Sotto Martin II

Individual

Bldg. 6905 Harris Ave

Kailua, 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