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

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Independent Duty Corpsman Providers

NPI Name Type Address

1548688013

Lee Janssen

Individual

1004 Hermitage Rd

Virginia Beach, VA

1689886509

MR. HMC SF-IDC Bradley Allen Sharp

Individual

1548 Wilderness Rd

Navcon Brig Chesapeake

Chesapeake, VA

1275785818

MS. IDC Christy Ann Hood

Individual

2359 Catlin Avenue

Quantico, VA

1528474616

Charles Bonney Taylor

Individual

3259 Catlin Ave

Quantico, VA

1790097426

MR. IDC Reginald Morris JR.

Individual

1575 Gator Blvd Ste 150

Virginia Beach, VA

1346659570

Nicholas Charles Edward Rohde

Individual

4946 Juno Rd

Virginia Beach, VA

1336541168

James Dinh Nguyen

Individual

2220 Schofield Rd

Ste 200

Virginia Beach, VA

1841694684

Andre Huggins

Individual

1687 Pocahontas St

Bldg 1a

Norfolk, VA

1629260443

MR. HM1 IDC, USN Brian J Dessel

Individual

3000 Admiral Taussig Blvd

Virginia Beach, VA

1083002679

IDC Matthew Schneider

Individual

2520 Midway Rd

Ste 200

Virginia Beach, VA

1649469875

IDC Michael John Terminello

Individual

2220 Schofield Rd

Virginia Beach, VA

1699168484

IDC Travis Brown

Individual

1355 Helicopter Rd

Virginia Beach, VA

1427430297

MR. Daniel Anthony Leonesio

Individual

1432 Pandoria Ct

Virginia Beach, VA

1821468042

IDC Michael Shoener

Individual

1355 Helicopter Rd

Virginia Beach, VA

1730559618

MR. Aaron Joseph Cortina

Individual

2340 Amphibious Dr

Bldg 2012 Suite 125

Virginia Beach, VA

1588925754

Christian Marsh

Individual

707 Washington Dr

Chesapeake, VA

1205291770

IDC, ATP, NREMTP Thomas Ender

Individual

3528 Plum Cres

Virginia Beach, VA

1730546920

Kenneth Neville

Individual

620 John Paul Jones Cir

Portsmouth, VA

1205293099

SFIDC Joshua Scott

Individual

7454 Goodview Rd

Goodview, VA

1528427242

IDC Andrea Dewitz

Individual

449 Broad St

Portsmouth, 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