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

1851563530

MR. Albert John Marcucci

Individual

14900 Park Central Rd

Thurmont, MD

1588991400

MISS Shannon Leigh Mcgough

Individual

8901 Wisconsin Ave

Bethesda, MD

1235466004

MR. IDC Chris Sweat

Individual

8901 Wisconsin Ave

Bethesda, MD

1891027975

MR. INDEPENDENT DUTY COP Christopher James Santee

Individual

8901 Wisconsin Ave

Bethesda, MD

1487840716

MR. IDC Tyron Lamarr Hodges

Individual

National Naval Medical Center Bethesda

8901 Rockville Pike

Bethesda, MD

1790098465

MR. IDC Dinsley Nichol Harris

Individual

8901 Wisconsin Ave

Internal Medicine

Bethesda, MD

1801864624

MR. NAVY IDC John Vavrek

Individual

Nnmc Bethesda Internal Medicine

8901 Wisconsin Ave

Bethesda, MD

1427367242

IDC Christopher T Walton

Individual

8901 Wisconsin Ave

Bethesda, MD

1508161894

IDC Gary A Byrum

Individual

2008 Stump Neck Rd

Naval Explosive Ordnance Disposal Technology Division

Indian Head, MD

1942263850

IDC John Edward Rollinger

Individual

8901 Wisconsin Ave

Bethesda, MD

1447557202

IDC Louis Florentine Gonzales

Individual

28k Queen Mary Ct

Chester, MD

1497009187

IDC Devin P Sweet

Individual

5813 Chinquapin Pkwy

1st Floor

Baltimore, MD

1740693324

MR. Benjamin Graves

Individual

3399 Strauss Ave Bldg 901

Indian Head, MD

1548666415

MS. SFIDC Janet Oliva

Individual

6305 Riverdale Rd

Riverdale, MD

1497004840

IDC Jan Rainier Anova

Individual

250 Wood Rd

Annapolis, MD

1083980932

MR. IDC Ernest Theophilus Quimby IV

Individual

Walter Reed Nmmc

Bldg 1 Suite 5103 8955 Wood Road

Bethesda, MD

1003358573

Timothy Andrew Wienke

Individual

3399 Strauss Ave

Indian Head, MD

1700136447

MR. SUBMARINE IDC Bradley James Schneider

Individual

8901 Wisconsin Ave

Bethesda, MD

1902151293

MRS. Christina Claypool

Individual

695 Kinkaid Rd

Annapolis, MD

1275143919

MR. IDC Milton Mcintyre Brown IV

Individual

12610 Chanler Ln

Bowie, 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