Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 270
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
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MR. IDC Roy Antoine Teague JR. |
Individual |
807 Springwood Dr Jacksonville, NC |
|
|
MR. IDC Othea C, Williams |
Individual |
285 Brookstone Way Jacksonville, NC |
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MR. SO-IDC Rudy J Lopez |
Individual |
Joint Special Operations Medical Ctr Usajfkswcs Stop A., 3004 Ardennes St. Fort Bragg, NC |
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|
MRS. IDC Jessica Lea Petty |
Individual |
194 Maready Rd Jacksonville, NC |
|
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MR. SOIDC Austen Cross Hubbard |
Individual |
7103 11th Ave N Topsail Beach, NC |
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IDC Federico Manuel Sanchez |
Individual |
1st Battalion 6th Marines Psc Box 20098 Camp Lejeune, NC |
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|
SOIDC Bryan Eugene Jones |
Individual |
2d Reconnaissance Bn, 2d Marine Division Bldg A-71 Psc Box 20138 Camp Lejeune, NC |
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|
MR. Jared Aguon |
Individual |
Holcolm Blvd, French Creek, Bldg 308, Clr 27, 2d Mlg Psc Box 20125 Camp Lejuene, NC |
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SOIDC Eric Stephen Gilmet |
Individual |
161 Lawndale Ln Sneads Ferry, NC |
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IDC Matthew Keith Rangel |
Individual |
2d Marine Battalion Aid Station Camp Lejeune, NC |
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Vincent Falcetta |
Individual |
111 C Street Box 20173 Camp Lejeune, NC |
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MR. IDC Brett Cory Davis |
Individual |
2d Medical Battalion Psc Box 20129 Charlie Surgical Company Camp Lejeune, NC |
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|
Shaun Christopher Dezern |
Individual |
2d Recon Bn, A-71 Medical Department Camp Lejeune, NC |
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MR. SOIDC Aidan C Cline |
Individual |
1330 Bozeman Loop Apt 34 Fayetteville, NC |
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Nicholas Arlo Villasana |
Individual |
403 Huff Dr Jacksonville, NC |
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Kevin D Baskin |
Individual |
14 Trevor Ct Rocky Point, NC |
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MR. Nicholas Alan Wiley |
Individual |
1038 Meadow Reach Trl Sanford, NC |
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|
2d Recon Bn |
Organization |
2d Marine Division, 2d Recon Bn Psc Box 20138 Camp Lejeune, NC |
|
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MR. SOIDC Michael James Elmer I |
Individual |
2d Recon Bn Psc Box 20138 Camp Lejeune, NC |
|
|
MR. IDC Casey Lee Goodman |
Individual |
255 Fry St China Grove, 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 |