Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 14

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Independent Duty Corpsman Providers

NPI Name Type Address

1942270061

MR. Ronald Dailey

Individual

400 Russell Ave

New Orleans, LA

1881664910

MR. Wendell Reese Bates

Individual

400 Russell Ave

New Orleans, LA

1336129659

MR. SURFACE IDC Eric Earl Cousin

Individual

123 Intrepid Dr

Belle Chasse, LA

1851595219

MR. Garry Vincent Tossing

Individual

4400 Dauphine St Bldg 601

New Orleans, LA

1528312410

IDC Miguel Antonio Murillo

Individual

424 Blossom St

Terrytown, LA

1427454693

MS. Rena Caraway

Individual

3714 Earhart Blvd

Unit B

New Orleans, LA

1205232485

Antonio Deon Cole

Individual

1790 Saturn St

New Orleans, LA

1669879672

MISS HS Shelby Valora Cooper

Individual

1790 Saturn Blvd

Uscg Medical Clinic

New Orleans, LA

1740687367

HEALTH SERVICES TECH Emilia Anangfac

Individual

1790 Saturn St

New Orleans, LA

1023553815

Tedrick Grayson

Individual

152 Toston Rd

West Monroe, LA

1538830880

IDHS Andrew Thomas Paiyarat

Individual

400 Russell Ave

New Orleans, LA

1235801382

Cerena Smith

Individual

436 Coast Guard Rd

Venice, LA

1770255713

Benjamin Scott Harrison

Individual

4023 Main St

Belle Chasse, LA

1104598119

INDEPENDENT DUTY HS Rahsan Roland Smith

Individual

139 Equity Blvd

Houma, LA

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