Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 270
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Gerald Clark Auvil |
Individual |
111 Clearbrook Way New Bern, NC |
|
|
SOIDC Blake Matthew Reynolds |
Individual |
2d Msob, Bldg. A-66 Camp Lejeune, NC |
|
|
Raymond Earl Hoelscher |
Individual |
Marsoc A66 Psc Box 20183 Camp Lejeune, NC |
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|
MR. IDC Logan James Bell |
Individual |
704 Harther Dr Jacksonville, NC |
|
|
Tyler Scarborough |
Individual |
66a Courthouse Rd Camp Lejeune, NC |
|
|
Daniel Thomas Secor |
Individual |
66a Courthouse Rd. Camp Lejeune, NC |
|
|
SFIDC Scott Lawrence Teahan |
Individual |
101 Puller Dr Jacksonville, NC |
|
|
SOIDC Michael Angelo Conti |
Individual |
2d Reconnaissance Bn, 2d Marine Division Bldg A-71 Psc Box 20138 Camp Lejeune, NC |
|
|
Aaron Isaiah Castro |
Individual |
409 South Bluff Circle Jacksonville, NC |
|
|
SOIDC Michael Thomas Denoyer |
Individual |
7302 Farrington Farms Dr Wilmington, NC |
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SOIDC William Joshua Hazelwood |
Individual |
2d Marine Special Operations Battalion Psc Box 20116 Camp Lejeune, NC |
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|
SOIDC Ricardo Gutierrez |
Individual |
400 Boysenberry Ln Hubert, NC |
|
|
MR. SOIDC Peter Moreno IV |
Individual |
Psc Box 20183 2d Marine Special Operations Battalion Camp Lejeune, NC |
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Paul Lutz |
Individual |
A66 Courthouse Bay Road Camp Lejeune, NC |
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Brendan Michael Moore |
Individual |
2d Marine Special Operations Battalion Pcs Box 20183 Camp Lejeune, NC |
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SPECIAL OPS IDC Darryl Glenn Beauchamp JR. |
Individual |
3d Marine Special Operations Battalion Psc Box 20073 Camp Lejeune, NC |
|
|
Michael J Mahlau |
Individual |
5211 Rolling Oak Ln Charlotte, NC |
|
|
SOIDC Victor Desantis |
Individual |
A-66 Snead's Ferry Rd Camp Lejeune, NC |
|
|
MRS. IDC Misty Knight |
Individual |
101 Gobbler Way Richland, NC |
|
|
Christopher David Brezina |
Individual |
Psc Box 20116 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...
| 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 |