Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 18
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. SFIDC Timothy Macon |
Individual |
123 Sully St Goose Creek, SC |
|
|
IDC Edwin Ray Lashley |
Individual |
Naval Hospital 3600 Rivers Ave N. Charleston, SC |
|
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Robert Lee Roseberry |
Individual |
1 Pinckney Blvd Beaufort, SC |
|
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MISS IDC Cheryl R Murphy |
Individual |
669 Blvd De France Branch Health Clinic Parris Island, SC |
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Christopher Peterson |
Individual |
3600 Rivers Ave N Charleston, SC |
|
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MR. IDC Michael Owen Congdon |
Individual |
1 Pinckney Blvd Beaufort, SC |
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IDC Matthew Barnhart |
Individual |
Mcas Branch Health Clinic Beaufort, SC |
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IDC Matthew David Hall |
Individual |
1 Pinckney Blvd Beaufort, SC |
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DR. IDC Ernst Schettini |
Individual |
1 Pinckney Blvd Beaufort, SC |
|
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IDC Dennis Jason Green |
Individual |
1050 Remount Rd North Charleston, SC |
|
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MR. IDC Gerald Dickson Ramones |
Individual |
1 Pinckney Blvd Mcrd Parris Island, Bhc Parris Island Beaufort, SC |
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Juan Camachoaclderon |
Individual |
204 Maplewood Ridge Summerville, SC |
|
|
MR. SOIDC Joshua William Crum |
Individual |
7 Saddlemount Ln Simpsonville, SC |
|
|
IDC Matthew Shaun Woodruff |
Individual |
Post Office Box 66038 Marine Aircraft Group 31 Beaufort, SC |
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MR. IDC Kelly Lynn Youngerman |
Individual |
110 Nnptc Cir Goose Creek, SC |
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Laurin Eason |
Individual |
1050 Register St North Charleston, SC |
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Victoria Larios |
Individual |
1050 Register St North Charleston, SC |
|
|
MS. Heather Johnson |
Individual |
1050 Register St Charleston, SC |
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 |