| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Michael Monroe |
Individual |
2520 Midway Rd, Ste 200 Eodmu Two Medical Dept Virginia Beach, VA |
|
|
MR. Bruce Dale Mckee |
Individual |
581 A Street Military Sealift Command Norflok, VA |
|
|
IDC/SMDR Leonard B Gordon |
Individual |
Comnavsurflant N02m 1430 Mitscher Ave Norfolk, VA |
|
|
MR. IDC Michael Vincent Atkinson |
Individual |
22477 York Ct Windsor, VA |
|
|
USN IDC Billy Villalobos |
Individual |
1840 Cove Rd Virginia Beach, VA |
|
|
IDC Michael Anthony Wallace |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
US NAVY DIVE IDC Jason Richard Duty |
Individual |
1004 Hermitage Rd Joint Expeditionary Base Little Creek Bldg 2052 Virginia Beach, VA |
|
|
MR. Jason William Grant |
Individual |
1355 Helicopter Rd Virginia Beach, VA |
|
|
MR. IDC Salvatore Giallombardo III |
Individual |
581 A St Bldg 312 Msfsc Norfolk, VA |
|
|
IDC Tadeo E O'brien |
Individual |
1840 Gator Blvd Virginia Beach, VA |
|
|
MR. IDC Troy Lamar Lindsay |
Individual |
2220 Schofield Rd Suite 200 Virginia Beach, VA |
|
|
United States Navy |
Organization |
318 S French Ct Virginia Beach, VA |
|
|
IDC Gerardo Ramirez |
Individual |
618 4th St Williamsburg, VA |
|
|
NAVY IDC Rod W Toler |
Individual |
618 4th St Williamsburg, VA |
|
|
INDEPENDENT DUTY HM Jon Rudolf Pangan |
Individual |
4432 Bonney Rd Apartment 206 Virginia Beach, VA |
|
|
MR. IDC Tyler Elliot Johnson |
Individual |
342 Dover Ct Virginia Beach, VA |
|
|
MR. IDC Michael Thomas Hedden |
Individual |
1317 Richwood Ave Chesapeake, VA |
|
|
United States Navy |
Organization |
667 Orangewood Dr Virginia Beach, VA |
|
|
IDC Daniel Kenneth Gibson |
Individual |
1875 Intercove Rd Bldg 3813 Virginia Beach, VA |
|
|
IDC Omar Antonio Pescador |
Individual |
Seal Team 10 Medical Department Bldg 3808 Virginia Beach, 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 |