Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 43
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
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MR. IDC Jonathan Platner |
Individual |
19314 High Pl Saucier, MS |
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IDC, USN Earl Gastador Bercide |
Individual |
1801 Fuller Rd Meridian, MS |
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MS. IDC Sheila Lee Shipman |
Individual |
Nmcb Seven Unit 60252 Gulfport, MS |
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MR. IDC Kevin Richard Mattos |
Individual |
Marvin Shields Blvd Cbc Gulfport Gulfport, MS |
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SFIDC David Allen Stanfield |
Individual |
2606 Lower Gainesville Rd Navsciatts Stennis Space Center, MS |
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IDC Michael D Haggerty JR. |
Individual |
1049 Bayou Pl Diamondhead, MS |
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MR. IDC Thomas E Gilham II |
Individual |
5503 Marvin Shields Blvd Gulfport, MS |
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MR. IDC Thomas Jay Walker |
Individual |
Special Boat Team 22 2603 Lower Gainsville Rd Stennis Space Center, MS |
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MR. IDC Francisco Xavier Eavenson |
Individual |
2603 Gainesville Road Stennis Space Center, MS |
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IDC Jeremy Louis Stover |
Individual |
55101 Marvin Shields Blvd Gulfport, MS |
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MR. IDC Eric James Motz |
Individual |
2603 Lower Gainesville Road Stennis Space Center, MS |
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MR. IDC Richard A Roque |
Individual |
5503 Marvin Shields Blvd Sea Bee Base Clinic Gulfport, MS |
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MR. IDC James Sheldon Burnett |
Individual |
Nmcb 74 Unit 60243 Gulfport, MS |
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MS. IDC Beverly Jean Malm |
Individual |
8816 Manoo St Diamondhead, MS |
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IDC Kelly A Smith |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
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SFIDC Greg Allan Lassiter |
Individual |
3110 B Seagull St Gulfport, MS |
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MR. IDC Charles Edward Givens JR. |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
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IDC Jean Marc Dube |
Individual |
Special Boat Team Twenty Two 2603 Lower Gainesville Road Stennis Space Center, MS |
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David Charles Halberg |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
I.D.C. Brandon Wayne Schwartz |
Individual |
Special Boat Team 22 2603 Lower Gainesville Road Stennis Space Center, MS |
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 |