Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 270

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Independent Duty Corpsman Providers

NPI Name Type Address

1093947103

IDC Edwin Dante Albino

Individual

12230 Painted Tree Rd

Charlotte, NC

1982837621

MR. IDC Justin Garofolo Mannick

Individual

614 Graystone Ave

Jacksonville, NC

1780919068

MR. SOIDC Clayton Silas Argall

Individual

2d Msob

Camp Lejeune, NC

1821324856

IDC Avery Jerome Holmes

Individual

Building Hp217 F St

Battalion Aid Station 1st Battalion 2nd Marines

Camp Lejeune, NC

1497086177

MR. Gregory Potter

Individual

100 Brewster Blvd

Naval Hospital Bmc Mcas

Camp Lejeune, NC

1336471374

SOIDC William Lee Fairall

Individual

8161 Red Cockaded Ct Apt 103

Wilmington, NC

1457673022

MR. IDC Michael Cameron Lewis

Individual

7528 Foxwerth Dr

Wilmington, NC

1679896427

MR. IDC Mark A. Laforme

Individual

216 Bunker Ct

Jacksonville, NC

1659696722

Denise Marie Galvan

Individual

Fc308 Daily St

Camp Lejeune, NC

1821317017

IDC Timothy M Hanley

Individual

100 Brewster Blvd

Camp Lejeune, NC

1174584783

MR. IDC Shawn Thomas Lawson Lawson

Individual

2d Medical Battalion

Camp Lejeune, NC

1154503779

MR. Christopher Ritter

Individual

5592 Florida Ave

Camp Lejeune, NC

1841423886

MR. SOIDC Rubens Henrique Dacosta

Individual

2d Marine Special Operations Battalion

Psc

Camp Lejeune, NC

1750690038

NAVY IDC Karl-heinz Thomas Lenz

Individual

Building 101 C Street

Room 101

Camp Lejeune, NC

1770895062

IDC William Edward Neason

Individual

2d Bn 8th Marine Reg

Psc

Camp Lejeune, NC

1649575937

IDC Robert George Wilson

Individual

515 Tessentee Rd

Franklin, NC

1487951026

MR. INDEPENDENT DUTY HM Jody Gene Fletcher

Individual

Psc Box 20116

Camp Lejeune, NC

1568769545

SOIDC Ryan Michael Christensen

Individual

Psc Box 20116

Camp Lejeune, NC

1972893048

Heath Harbison

Individual

1211 Louis Street

Camp Lejeune, NC

1598055048

MR. IDC Aaron Eugene Sents

Individual

Marsoc A66

Psc Box 20183

Camp Lejeune, NC

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