Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 297
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC George Wendell Graham |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
SOIDC Leo Alexander Perez |
Individual |
2321 Rookery Way Virginia Beach, VA |
|
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IDC Peter Michael Roche |
Individual |
1355 Helicopter Rd Virginia Beach, VA |
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IDC Andrew Lavergne |
Individual |
1900 Gator Blvd Bldg 3808 Virginia Beach, VA |
|
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IDC Warren Montesvelez |
Individual |
2220 Schofield Rd Virginia Beach, VA |
|
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Spencer Grey |
Individual |
334 E Evans St Norfolk, VA |
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MR. SFIDC Justin Ray Harris SR. |
Individual |
581 'a' Street Norfolk, VA |
|
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MR. IDC Elliott Spencer Keck |
Individual |
1550 Tomcat Blvd Ste 150 Nas Oceana, Bhc Virginia Beach, VA |
|
|
MR. IDC Justin Adrian Foxworth |
Individual |
1683 Gilbert St Norfolk, VA |
|
|
SOIDC Christian Thomsen |
Individual |
2510 Camelback Road Richmond, VA |
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IDC Andrew French |
Individual |
1355 Helicopter Rd Virginia Beach, VA |
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Jordan William Ward |
Individual |
1636 Regulus Ave Attn: Noom Virginia Beach, VA |
|
|
MRS. HM1 IDC Jennifer Renee Otterbach |
Individual |
4000 Hailey Ct Chesapeake, VA |
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|
MR. IDC William Keith Dow |
Individual |
1636 Regulus Ave Virginia Beach, VA |
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MS. IDC Melanie Marie Graybill |
Individual |
956 Timber Valley Way Apt 114 Virginia Beach, VA |
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IDC Elliott Bennett Pippen |
Individual |
1804 Gravenhurst Dr Virginia Beach, VA |
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MR. HMC Javier A Cortes |
Individual |
1840 Cove Rd Bldg 3853 Virginia Beach, VA |
|
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Desmond Lafleur |
Individual |
865 Westminster Ln Virginia Beach, VA |
|
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IDC Raymond Suhr |
Individual |
1636 Regulus Ave Virginia Beach, VA |
|
|
MR. IDC Daniel William Feeback |
Individual |
667 John Paul Jones Cir Naval Medical Center Portsmouth Medical Department(code No2m) Norfolk, 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...
| 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 |