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

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Independent Duty Corpsman Providers

NPI Name Type Address

1922068246

MR. Chaddrick Lendon Jack

Individual

10651 E St

Corpus Christi, TX

1609043777

MR. IDC Jason Paul Fechner

Individual

1451 Lexington Drive

Comcmron2

Ingleside, TX

1881844538

MR. SFIDC Michael Charles Menninger

Individual

1451 Lexington Blvd

Building 300, Suite 149

Ingleside, TX

1699927632

MS. IDC Rosanna Renee Rodriguez

Individual

2250 Stanley Rd

Suite 36

Fort Sam Houston, TX

1841443876

Judith L Grimes

Individual

1706 Stanley Rd

Suite 91

Fort Sam Houston, TX

1699910414

MR. IDC Benjamin Noel Paloy Carrido

Individual

2969 Atlantic Blvd Apt 115

Ingleside, TX

1396077020

IDC Christopher John Robinson

Individual

4006 Waverly Rd

Corinth, TX

1063625911

MR. IDC Hugo Jesus Valdez

Individual

3837 Binz Engleman Rd

San Antonio, TX

1750690400

MR. IDC John Douglas Compton JR.

Individual

13506 Wood Terrace Dr

Houston, TX

1659671998

IDC Mat Pagan

Individual

901 Maple St

Uvalde, TX

1912208216

IDC Shepley Allen Reimer

Individual

3555 Patch Rd

Fort Sam Houston, TX

1780902270

IDC Dennis Gabriel Amador

Individual

1711 Doolittle Ave

Bhc Fort Worth-pcc

Nas/jrb, TX

1124097720

Michael Davis

Individual

10651 E St

Corpus Christi, TX

1689970535

MR. SUB IDC Michael G. Phillips

Individual

2621 Las Brisas St

Corpus Christi, TX

1609168996

MR. Richard Thomas Gilbert

Individual

1711 Doolittle Ave

Fort Worth, TX

1124306329

MR. SFIDC David G Morales JR.

Individual

9180 Tenango Dr

El Paso, TX

1295981538

IDC Timothy Hill

Individual

3851 Roger Brooke Drive

Ft. Sam Houston, TX

1417223710

IDC Adam Anthony Garcia

Individual

12080 Paseo De Amor Ln

El Paso, TX

1770607145

MR. IDC Gideon Allen Kain

Individual

10651 E St.

Naval Health Clinic Corpus Christi

Corpus Christi, TX

1942637087

SFIDC Matthew Alan Robichaux

Individual

13500 White Tail Trl

Austin, 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