Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 42

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Select City

A

Andrews Afb 1
Annapolis 2

B

Baltimore 1
Bethesda 16
Bowie 1
Brandywine 1

C

Chester 1
Curtis Bay 1

F

Fort Detrick 1
Frostburg 1

I

Indian Head 7

J

Jb Andrews 1

P

Patuxent River 2

R

Riverdale 1

T

Thurmont 5
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Independent Duty Corpsman Providers

NPI Name Type Address

1174509780

MR. HS Aaron E Fulcher

Individual

2401 Hawkins Point Rd

Curtis Bay, MD

1447227806

Roger Lee Bennett

Individual

83 Meadow Rd

Frostburg, MD

1306814363

MR. Gregory John Peck

Individual

13511 S Springfield Rd

Brandywine, MD

1740258755

MR. USN - IDC Anthony James Schlim

Individual

8901 Wisconsin Ave

Bethesda, MD

1649491721

IDC Ronald Thomas Kunz

Individual

1681 Nelson St

Fort Detrick, MD

1316147457

MR. IDC Michael Waters

Individual

14900 Park Central Road

Naval Support Facility

Thurmont, MD

1467652644

IDC Jebin James Ginet

Individual

14900 Park Central Rd

Thurmont, MD

1033300884

MR. NAVY SFIDC Christopher Allen Powell

Individual

14900 Park Central Rd

Thurmont, MD

1932383593

MR. IDC Michael A Walls

Individual

3399 Strauss Ave

Suite 219

Indian Head, MD

1851504237

MR. IDC Dean Natale Del Favero

Individual

2008 Stump Neck Rd

Indian Head, MD

1407067259

MR. IDC Michael Bohdan Bozydaj

Individual

14900 Park Central

Thurmont, MD

1720247158

MR. IDC James Matthew Weser

Individual

National Naval Medical Ctr

8901 Wisconsin Ave

Bethesda, MD

1497918635

IDC David Paul Horvath

Individual

3399 Strauss Ave Ste 219

Indian Head, MD

1992774640

MRS. IDC Shannon Christine Hudson

Individual

47149 Buse Rd

Unit #1370

Patuxent River, MD

1689642670

NAVY IDC Mark Edward Grafton

Individual

1 San Diego Loop Bldg 3282

Naval Air Facility Branch Health And Dental C

Andrews Afb, MD

1457597601

Patrick L Hyde

Individual

8901 Wisconsin Ave

Bldg 1 Room 1693

Bethesda, MD

1699911370

MR. IDC Maurice L Mcbride

Individual

National Naval Medical Center Bethesda

Medical Services Directorate

Bethesda, MD

1538362041

MS. Elizabeth Ann Davenport

Individual

734 Carpenter Park Apt A

Patuxent River, MD

1851446827

MR. Samuel Priagola

Individual

8901 Rockville Pike

Bethesda, MD

1245461870

MR. IDC Wilbur Henry Stafford

Individual

National Naval Medical Ctr

8901 Rockville Pike

Bethesda, MD

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