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

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1013254374

Christopher Lee Crumpler

Individual

1885 Terrier Ave Ste 100

Virginia Beach, VA

1023355054

IDC Marina S Letourneau

Individual

1650 Gator Blvd

Bldg 3509 Comfirstncd

Virginia Beach, VA

1558600569

IDC Caleb J. Drake

Individual

1355 Helicopter Rd Bldg 3812

Virginia Beach, VA

1609117746

MR. IDC Russell Aaron Warlick

Individual

2520 Midway Rd

Ste 600

Virginia Beach, VA

1336582774

MR. IDC Mario Delano Phillips JR.

Individual

745 Eden Way North

Chesapeake, VA

1154766673

MR. IDC Justin Brian Hess

Individual

1870 Gator Blvd

Building 3842

Virginia Beach, VA

1346686888

SFIDC Jonathan Kan

Individual

1855 Helicopter Road

Virginia Beach, VA

1558707984

IDC Amy Marie Clark

Individual

260 Barnes Rd

Suffolk, VA

1801239611

MR. IDC Volker Schweyer

Individual

1870 Gator Blvd

Bldg. 3842

Virginia Beach, VA

1568894574

MRS. SF IDC June Barfield

Individual

1745 10th St

Virginia Beach, VA

1932533601

MR. IDC Ernesto Carrasquillo III

Individual

1804 Crestmont Place

Apt 302

Chesapeake, VA

1164859930

IDC Barry Bertolasio

Individual

1840 Gator Blvd

Building 3841

Virginia Beach, VA

1073941811

IDC Aaron Pines

Individual

264 Tigerlilly Dr

Portsmouth, VA

1437587375

MR. IDC Benny Husinecky III

Individual

221 Mica Ave

Apt 304

Virginia Beach, VA

1366872772

MR. IDC Matthew John Watton

Individual

1414 Sabbath Ln

Chesapeake, VA

1346661550

MR. SFIDC Angel Daniel Rendon

Individual

865 Royal Grove Ct

Chesapeake, VA

1356533731

IDC Teresa A Kirkland

Individual

Code 100 M, Building 277

Portsmouth, VA

1689706319

MR. IDC Dale Anthony Lyons

Individual

9168 2nd St Ste 200

Commander Submarine Squadron Six Medical

Norfolk, VA

1811312119

SFIDC Dennis Alan Holmes JR.

Individual

1870 Gator Blvd

Bldg 3842

Virginia Beach, VA

1447677398

SOIDC Hoa Tan Tran

Individual

1636 Regulus Ave

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689