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

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Independent Duty Corpsman Providers

NPI Name Type Address

1710276480

MR. IDC Michael Monroe

Individual

2520 Midway Rd, Ste 200

Eodmu Two Medical Dept

Virginia Beach, VA

1669763322

MR. Bruce Dale Mckee

Individual

581 A Street

Military Sealift Command

Norflok, VA

1508155375

IDC/SMDR Leonard B Gordon

Individual

Comnavsurflant N02m

1430 Mitscher Ave

Norfolk, VA

1477845634

MR. IDC Michael Vincent Atkinson

Individual

22477 York Ct

Windsor, VA

1861785297

USN IDC Billy Villalobos

Individual

1840 Cove Rd

Virginia Beach, VA

1427216837

IDC Michael Anthony Wallace

Individual

620 John Paul Jones Cir

Portsmouth, VA

1487932141

US NAVY DIVE IDC Jason Richard Duty

Individual

1004 Hermitage Rd

Joint Expeditionary Base Little Creek Bldg 2052

Virginia Beach, VA

1275830747

MR. Jason William Grant

Individual

1355 Helicopter Rd

Virginia Beach, VA

1457539694

MR. IDC Salvatore Giallombardo III

Individual

581 A St Bldg 312

Msfsc

Norfolk, VA

1043486855

IDC Tadeo E O'brien

Individual

1840 Gator Blvd

Virginia Beach, VA

1962782755

MR. IDC Troy Lamar Lindsay

Individual

2220 Schofield Rd

Suite 200

Virginia Beach, VA

1285916072

United States Navy

Organization

318 S French Ct

Virginia Beach, VA

1194995001

IDC Gerardo Ramirez

Individual

618 4th St

Williamsburg, VA

1124080700

NAVY IDC Rod W Toler

Individual

618 4th St

Williamsburg, VA

1902174899

INDEPENDENT DUTY HM Jon Rudolf Pangan

Individual

4432 Bonney Rd

Apartment 206

Virginia Beach, VA

1679846281

MR. IDC Tyler Elliot Johnson

Individual

342 Dover Ct

Virginia Beach, VA

1982977153

MR. IDC Michael Thomas Hedden

Individual

1317 Richwood Ave

Chesapeake, VA

1295009728

United States Navy

Organization

667 Orangewood Dr

Virginia Beach, VA

1720352909

IDC Daniel Kenneth Gibson

Individual

1875 Intercove Rd

Bldg 3813

Virginia Beach, VA

1720352958

IDC Omar Antonio Pescador

Individual

Seal Team 10 Medical Department

Bldg 3808

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