| NPI | Name | Type | Address |
|---|---|---|---|
|
Jenna Golding |
Individual |
3259 Catlin Ave Quantico, VA |
|
|
MR. IDC Lloyd Reed Hall III |
Individual |
1814 James Monroe Highway Colonial Beach, VA |
|
|
Jessica Marie Camblor |
Individual |
1548 Wilderness Rd Chesapeake, VA |
|
|
IDC Nicole Ann Wilson |
Individual |
4701 Apple Tree Dr Alexandria, VA |
|
|
IDC Jayme Ryan Frianeza |
Individual |
1808 Shupper Dr Yorktown, VA |
|
|
SFIDC Jose Omar Vargas |
Individual |
1840 Gator Blvd Bldg: 3841 Virginia Beach, VA |
|
|
MR. DIVE IDC John Douglas Moore |
Individual |
1004 Hermitage Rd Bldg 1014 Virginia Beach, VA |
|
|
Pierce Cogburn |
Individual |
3985 Old Forge Rd Virginia Beach, VA |
|
|
Mario Zavala |
Individual |
408 N Amsterdam Ct Virginia Beach, VA |
|
|
MR. IDC Michael Benjamin Wachter |
Individual |
821 Blasters Cv Virginia Beach, VA |
|
|
MR. IDC Kenneth James Richards |
Individual |
5265 Riverwood Rd Norfolk, VA |
|
|
MR. Nathan A. Marsh |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
HM Courtney Osborne |
Individual |
Uss Abraham Lincoln Cvn 72 Medical Department Norfolk, VA |
|
|
IDC Markeece Oneale |
Individual |
13020 Amesbury St Woodbridge, VA |
|
|
James William Oglesby |
Individual |
2340 Amphibious Dr Ste 125 Virginia Beach, VA |
|
|
IDC Owen Wilhelm Horton |
Individual |
472 Polaris St Bldg 586 Virginia Beach, VA |
|
|
MR. SFIDC Clinton James Barton |
Individual |
1016 Norwyk Ln Williamsburg, VA |
|
|
IDC Michael Wesley Dixon |
Individual |
4008 Buchanan Dr Hampton, VA |
|
|
IDC Scott Lenon |
Individual |
1465 Hewitt Dr Virginia Beach, VA |
|
|
IDC Ismael Arturo Lopez |
Individual |
1721 Admiral Taussig Blvd Norfolk, VA |
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 |