Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 16

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Independent Duty Corpsman Providers

NPI Name Type Address

1346217544

IDC Steven Alan Denomme

Individual

43 Smith Rd

Newport, RI

1942277132

MR. Ryan Dean Lisec

Individual

43 Smith Rd

Newport, RI

1255308359

SFIDC William Barry Wood

Individual

686 Cushing Rd

Newport, RI

1124096144

Jay B Ferguson

Individual

43 Smith Rd

Newport, RI

1811017791

MR. I.D.C. Dylan Thomas Comerford

Individual

43 Smith Rd

Newport, RI

1518157411

MR. Dwight Jabari Ott JR.

Individual

43 Smith Rd

Newport, RI

1790941458

Michael 'r' Shoulberg

Individual

37 Potter Ave

West Warwick, RI

1578701751

Rodney Lybarger

Individual

7b Jencks Rd

Foster, RI

1619106465

SFIDC Donald James Mcallister

Individual

2 Resolute Rd

Newport, RI

1821275371

MR. IDC Philip L Freytag

Individual

43 Smith Road

Nhcne Newport

Newport, RI

1689642654

SFIDC Patrick Dennis O'dell

Individual

43 Smith Rd

Newport, RI

1871928853

MR. SFIDC Edwin Gilberto Dominguez

Individual

43 Smith Rd

Newport, RI

1407282494

IDC Albert Cuaresma

Individual

43 Smith Rd

Newport, RI

1083023212

MR. SUBMARINE IDC Cody Daniel Jones

Individual

112 Elder Ave

Riverside, RI

1730447855

Latese Smith

Individual

43 Smith Rd

Newport, RI

1043982564

IDHS Avery Renuall Yates

Individual

47 Chandler St Quay Wall

Newport, RI

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