Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 59

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Independent Duty Corpsman Providers

NPI Name Type Address

1831515147

INDEPENDANT DUTY COR Martin Werner

Individual

3837 Binz Engleman Rd

San Antonio, TX

1801864616

MR. Gil J Cerros

Individual

25850 Big Bluestem

San Antonio, TX

1275938375

Ricardo Jaramillo

Individual

7016 Austrian Pine

Brownsville, TX

1417389461

IDC Michael A Rivard

Individual

1711 Doolittle Ave

Fort Worth, TX

1699144428

Alberto Gonzalez

Individual

102 Redrock Dr

San Antonio, TX

1518337013

IDC John Cantu

Individual

3945 Tripoli Dr

Corpus Christi, TX

1528430980

Tomasz Orent

Individual

26885 Manor Falls Dr

Kingwood, TX

1225581481

Kenneth Perry Vantassel

Individual

1410 Woodfair Dr

Richmond, TX

1235321464

IDC Anthony Arockiadoss Basil

Individual

1250 Arnold Cir Ste 1

Jbsa Lackland, TX

1275032724

IDC Neil Martin Cataline

Individual

3837 Binz Engleman Rd

San Antonio, TX

1114133113

MR. IDC Carlos Santana Montalvo

Individual

4508 Timken Trl

Fort Worth, TX

1922771625

Tommy Tannehill

Individual

2931 Harney Path

Fort Sam Houston, TX

1841961190

MR. IDHS Donald G Ruebenspn III

Individual

1 Wallace Reed Rd

South Padre Island, TX

1699446849

Joshua Lopez

Individual

13411 Hilliard St

Houston, TX

1841961034

IDHS Gregory Calvin Johnson

Individual

2307 W Maple St Ste B

Port O Connor, TX

1699447185

IDHS Destiny Renee Piper

Individual

13411 Hillard St

Houston, TX

1801539424

IDHS, IDEP Kyle Simmons

Individual

13411 Hilliard St

Houston, TX

1487079356

IDC SMDR Jacob Alan Seekins

Individual

1711 Doolittle Ave

Fort Worth, TX

1417677519

Jordan James Dorchin

Individual

13411 Hilliard St

Houston, TX

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