Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 297

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Independent Duty Corpsman Providers

NPI Name Type Address

1316926066

IDC John Wallace SR.

Individual

300 E Main St

Suite 1000

Norfolk, VA

1710959010

MR. IDC USN Walter Merrille Mccorkill

Individual

Riverine Group One

Attn Bldg 2012 240 Amphibious Dr Ste 125

Norfolk, VA

1366415614

MR. IDC Franklin Jay Jensen JR.

Individual

2901 Amphibious Dr

Norfolk, VA

1649247305

Keith Martin Boyce

Individual

9756 Ranger Rd

Fairfax, VA

1730156134

MR. I.D.C. Nelsoncris Caparas Delacruz

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1639146632

MR. Edward Robin Spearman

Individual

1721 Taussig Blvd

Norfolk, VA

1215904206

MR. IDC Reynaldo Afable Galang

Individual

1885 Terrier Ave

Branch Health Clinic Dam Neck Ste 100

Virginia Beach, VA

1427025485

MR. I.D.C. Ricardo Garza

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1942278460

MR. IDC Adrian L Dunkerley

Individual

3259 Catlin Ave

Quantico, VA

1669431771

MR. Thomas Ivan Klein

Individual

3007 Ramblewoods Ct

Virginia Beach, VA

1366411779

MR. IDC Steven K Andrews

Individual

1417 Weyburn Ct

Virginia Beach, VA

1457320731

IDC Jeffery Alan Miller

Individual

5428 Macqueen Dr

Virginia Beach, VA

1912968488

Aaron Donald Johnson

Individual

519 Catapult Ct

Suffolk, VA

1609837111

IDC Adam Nathaniel Goulas

Individual

9168 2nd St

Suite 202

Norfolk, VA

1487614897

IDC Scott Anthony Bissen

Individual

9168 2nd St

Suite 202

Norfolk, VA

1144281270

MR. SUB-IDC Ramoncito Valencia Pedro

Individual

900 Alden Ct

Virginia Beach, VA

1679534937

IDC Rory Dean Miller

Individual

5501 High St W

Portsmouth, VA

1780645895

MR. IDC Andrew Douglas Barker

Individual

9168 2nd St

Ste 202

Norfolk, VA

1619939147

MR. SUB IDC David C Young

Individual

1035 Nider Boulevard Naval Amphibious Base Little Creek

Suite 100

Norfolk, VA

1376505321

MR. IDC Roger Dale Mcgee

Individual

2120 Chesterfield Loop

Chesapeake, VA

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