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

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Independent Duty Corpsman Providers

NPI Name Type Address

1437115326

MR. IDC Nicholas Jeremy Nelsen

Individual

1721 Admiral Taussig Blvd

Norfolk, VA

1336377688

MR. SFIDC Shane Oliver Chung

Individual

302 Warren Street Apt 3

Norfolk, VA

1558592675

Kevin Leigh Russell

Individual

Msron-6

Bldg 15, Norfolk Naval Shipyard

Portsmouth, VA

1598998536

IDC Heather Allison Anderson

Individual

1721 Taussig Blvd

Jason Dunham Ddg 109 Naval Station Norfolk,

Norfolk, VA

1306079215

MR. DMT, IDC Brian Scott Anderson

Individual

1465 Hewitt Dr

Norfolk, VA

1427281229

INDEPENDENT DUTY HM Christopher Andrew Dejesus

Individual

401 Locust Ct

Suffolk, VA

1629301361

MR. IDC Bobby O Thomas

Individual

1300 Helicopter Rd

Naval Special Warfare Support Activity Two

Norfolk, VA

1598724684

Robert C Brown

Individual

8857 1st St Ste 400

Ddg Classron-ehslant

Norfolk, VA

1245417872

Kathryn Pauline Coleman

Individual

2155 11th St

Norfolk, VA

1407815392

Eric Landry Provo

Individual

8857 1st St Ste 400

Norfolk, VA

1023048931

HMC/IDC, US NAVY Mark Alan Chesney

Individual

3573 Forest Haven Ln

Chesapeake, VA

1780645051

MR. USN-IDC Brian David Campbell

Individual

7400 Sewells Point Rd

Norfolk, VA

1750610788

MS. IDC Melissa Christine Foster

Individual

2901 Amphibious Drive

Acu-2

Norfolk, VA

1083944938

IDC Milagros Torres

Individual

5059 Glen Canyon Dr

Virginia Beach, VA

1801126289

IDC Daniel Michael Covitz

Individual

1317 Ballahack Rd. Ste 100

Capt W.l. Mcgonagle Branch Clinic Nsa Northwest

Chesapeake, VA

1073843207

Kevin Matthew Caldwell

Individual

1901 Big Boulder Dr

Virginia Beach, VA

1225369606

Michael Pirone

Individual

3259 Catlin Ave

Quantico, VA

1962724724

MR. IDC John D Dempsey

Individual

1636 Regulus Ave

Virginia Beach, VA

1912100488

MR. IDC US NAVY David James Walker

Individual

2135 Wellings Ct

Virginia Beach, VA

1922214378

MR. IDC Zachary Dukane Pryor

Individual

1745 10th Street

Beach Master Unit Two

Virginia Beach, 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