Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 7

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Independent Duty Corpsman Providers

NPI Name Type Address

1467532614

MR. HS Juan J Perez IV

Individual

1 Munro Ave

Cape May, NJ

1831302074

MR. IDC Alex Alfredo Duranalvarado SR.

Individual

300 Centerton Rd

Moorestown, NJ

1962690982

MR. IDC Gary Stephen Mihalko JR.

Individual

39 Lansdowne Rd

Naval Branch Medical Clinic

Lakehurst, NJ

1033377411

MR. IDC Joseph Stanley Sprafka JR.

Individual

Bldg 39 Lansdowne Rd

Naval Branch Medical Clinic

Lakehurst, NJ

1043296320

MR. INDEPENDENT DUTY HS Todd Lane Emerson

Individual

1 Munro Ave

Cape May, NJ

1043598246

MR. IDC Christopher Allen Yesukevich

Individual

82a Woodland Rd

Apt 4

Short Hills, NJ

1295407054

IDHS Mary Roxan Maestro

Individual

20 Crispin Rd

Highlands, NJ

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