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

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Independent Duty Corpsman Providers

NPI Name Type Address

1750546404

IDC Rio Martin Yap Gomez

Individual

5800 Quantrell Ave #420

Alexandria, VA

1942262340

MR. IDC Bernard L. Hodges

Individual

620 John Paul Jones Cir

Naval Medical Center Portsmouth / Sarp

Portsmouth, VA

1669629069

Michael Roush

Individual

2600 Tarawa Ct

Norfolk, VA

1659529964

MR. IDC Charles Keith Mahan

Individual

2600 Tarawa Ct

Norfolk, VA

1891943825

INDEPENDENT DUTY HM Michael Jacob Loeffler

Individual

1959 Morris St

Bldg Z101

Norfolk, VA

1649428525

IDC Alexander Richard Misiunas

Individual

2833 Heritage Dr

Suffolk, VA

1831348838

MR. IDC Sean Gregory Pearson

Individual

2600 Tarawa Ct Ste 260

Norfolk, VA

1528238680

Patrick Michael Wiens

Individual

1745 10th St

Norfolk, VA

1922257724

IDC Mark Allan Delay

Individual

1875 Cove Rd

Bldg 3806

Norfolk, VA

1538319223

IDC Christopher Golden

Individual

201 Thoroughbred Ln

Chesapeake, VA

1104077445

MR. IDC Jason Lee Schneider

Individual

1815 Seabee Dr

Norfolk, VA

1164673398

IDC David Jonathan Hartzell

Individual

2521 Alleghany Loop

Virginia Beach, VA

1922282201

INDEPENDENT DUTY COR William James Davis

Individual

204 Stonehall Ct

Virginia Beach, VA

1558506444

MR. IDC David Alan Donahue

Individual

1300 Helicopter Rd Bldg 3812

Norfolk, VA

1225273691

IDC Jason Paul Arceneaux

Individual

1355 Helicopter Rd

Norfolk, VA

1558507442

IDC Donald Charles Orton

Individual

8857 1st St Bldg Cep 86 Suite 400

Pcd Commander Precomdet New York (lpd 21) C/o Ddg Class

Norfolk, VA

1922055169

IDC Amanda L Gentry

Individual

100 Alfred Loop

Apt 201

Chesapeake, VA

1528209160

MR. SFIDC William Joseph Harris JR.

Individual

1636 Regulus Ave

Nswdg (n00m)

Virginia Beach, VA

1740422237

MR. David Raymond Ditman

Individual

Uss California (ssn 781)

Supervisor Of Shipbuilding, Conversion& Repair, Usn

Newport News, VA

1013143221

MR. MILITARY HEALTH/IDC James J Barakat

Individual

1875 Intercove Rd Bldg 3813

Norfolk, 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