| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Rio Martin Yap Gomez |
Individual |
5800 Quantrell Ave #420 Alexandria, VA |
|
|
MR. IDC Bernard L. Hodges |
Individual |
620 John Paul Jones Cir Naval Medical Center Portsmouth / Sarp Portsmouth, VA |
|
|
Michael Roush |
Individual |
2600 Tarawa Ct Norfolk, VA |
|
|
MR. IDC Charles Keith Mahan |
Individual |
2600 Tarawa Ct Norfolk, VA |
|
|
INDEPENDENT DUTY HM Michael Jacob Loeffler |
Individual |
1959 Morris St Bldg Z101 Norfolk, VA |
|
|
IDC Alexander Richard Misiunas |
Individual |
2833 Heritage Dr Suffolk, VA |
|
|
MR. IDC Sean Gregory Pearson |
Individual |
2600 Tarawa Ct Ste 260 Norfolk, VA |
|
|
Patrick Michael Wiens |
Individual |
1745 10th St Norfolk, VA |
|
|
IDC Mark Allan Delay |
Individual |
1875 Cove Rd Bldg 3806 Norfolk, VA |
|
|
IDC Christopher Golden |
Individual |
201 Thoroughbred Ln Chesapeake, VA |
|
|
MR. IDC Jason Lee Schneider |
Individual |
1815 Seabee Dr Norfolk, VA |
|
|
IDC David Jonathan Hartzell |
Individual |
2521 Alleghany Loop Virginia Beach, VA |
|
|
INDEPENDENT DUTY COR William James Davis |
Individual |
204 Stonehall Ct Virginia Beach, VA |
|
|
MR. IDC David Alan Donahue |
Individual |
1300 Helicopter Rd Bldg 3812 Norfolk, VA |
|
|
IDC Jason Paul Arceneaux |
Individual |
1355 Helicopter Rd Norfolk, VA |
|
|
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 |
|
|
IDC Amanda L Gentry |
Individual |
100 Alfred Loop Apt 201 Chesapeake, VA |
|
|
MR. SFIDC William Joseph Harris JR. |
Individual |
1636 Regulus Ave Nswdg (n00m) Virginia Beach, VA |
|
|
MR. David Raymond Ditman |
Individual |
Uss California (ssn 781) Supervisor Of Shipbuilding, Conversion& Repair, Usn Newport News, VA |
|
|
MR. MILITARY HEALTH/IDC James J Barakat |
Individual |
1875 Intercove Rd Bldg 3813 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 |