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

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Independent Duty Corpsman Providers

NPI Name Type Address

1225351760

IDC Jocelyn Martinezdelgado

Individual

8857 1st Street

Pcu Jason Dunham Suite 400

Norfolk, VA

1174641344

IDC Bryan Paul Zimmerman

Individual

2360 Amphibious Dr

Virginia Beach, VA

1386957025

MR. IDC Juan Munoz

Individual

8857 1st St

Suite 400

Norfolk, VA

1407161383

IDC Kerry A. Tester

Individual

108 Sanda Ave Bldg 564

Williamsburg, VA

1033319702

MR. IDC Duane E Paquette

Individual

620 John Paul Jones Cir

Naval Medical Center Portsmouth, Family Practice

Portsmouth, VA

1538354717

I.D.C Adrian Rivas

Individual

1900 Gator Blvd

Building 3808

Norfolk, VA

1497057665

MR. Shawn Thomas Santini

Individual

1683 Gilbert St

Norfolk, VA

1548562259

IDC-NAVY Aaron Brent Vandall

Individual

Rivron 3, Nws Yorktown

Bldg 686

Yorktown, VA

1003119538

IDC Shayla R Robertson

Individual

150 Allen St

Norfolk, VA

1124321559

MR. IDC Richard George Mcclelland

Individual

290 4th St

Williamsburg, VA

1730339029

MR. Brendan William Mccarthy

Individual

1317 Ballahack Rd

Ste 100

Chesapeake, VA

1215231691

MR. Peter M David

Individual

1465 Hewitt Dr

Virginia Beach, VA

1003111261

HOSPITAL CORPS IDC Steven Lee Coleman

Individual

821 Blasters Cv

Virginia Beach, VA

1497051460

IDC Mitchell Todd Pearce

Individual

1004 Hermitage Rd.

Norfolk, VA

1073810917

IDC Warren Skinner

Individual

1840 Gator Blvd

Virginia Beach, VA

1235438375

IDC/DMT Marshall Neil Sherrill

Individual

1004 Hermitage Rd

Bldg 2014

Virginia Beach, VA

1073812095

NAVY IDC Eric William Staley

Individual

7958 Blandy Road

Commander Submarine Force Atlantic

Norfolk, VA

1487953444

MR. SUBMARINE IDC Enrique Tomenio Pallesco

Individual

16349 Smithfield Heights Dr

Smithfield, VA

1386844389

MR. USN IDC Sean Patrick Miles

Individual

1636 Regulus Ave

Virginia Beach, VA

1891094017

IDC Juan Martin Ochoa

Individual

2520 Midway Rd

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