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

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Independent Duty Corpsman Providers

NPI Name Type Address

1215082862

MR. IDC Mikel E Coates

Individual

1885 Terrier Ave

Suite 100

Virginia Beach, VA

1780739110

IDC Jennifer Kaye Murphy

Individual

1550 Tomcat Blvd

Virginia Beach, VA

1205954104

IDC Mark E Bryant

Individual

620 John Paul Jones Cir

Portsmouth, VA

1336366863

IDC George R Hernandez

Individual

5733 Lilac Ln Apt 207

Virginia Beach, VA

1881811586

IDC Frank Garcia

Individual

1721 Taussig Blvd

Norfolk, VA

1790907590

IDC Dennis Michael Polli

Individual

1575 Gator Blvd Bldg 3504

Nab Little Creek

Norfolk, VA

1760694368

MR. IDC Hosea Smith JR.

Individual

Naval Coastal Warfare Squadron Four

Nnsy Bldg 11 Rm 103

Portsmouth, VA

1396967584

Daniel Gilbert

Individual

1465 Hewitt Dr

Norfolk, VA

1134331895

Glenn Hunsinger

Individual

1004 Hermitage Rd

Norfolk, VA

1164635520

MR. IDC Shannon Patrick Johnson

Individual

1004 Hermitage Rd

Bldg 2052

Norfolk, VA

1588879779

MR. IDC Ralph Allen Rowe JR.

Individual

Mobile Security Squadron Six

Nnsy Bld 15

Portsmouth, VA

1609080589

IDC Luis Alexander Glinton

Individual

Norfolk Naval Shipyard

Bldg 15

Portsmouth, VA

1649484940

MR. IDC Daniel Paul Stevens

Individual

1004 Hermitage Road

Norfolk, VA

1144436924

IDC Jennifer Marie Faasen

Individual

620 John Paul Jones Cir

Portsmouth, VA

1952517948

MR. IDC Jaycee Morales Enriquez

Individual

Naval Submarine Support Center

9168 Second Street Suite 202

Norfolk, VA

1861600389

IDC Christopher Robin Maurer

Individual

Ncws 4, Ibu 41

Nnsy Bldg 11

Portsmouth, VA

1366650145

MR. Craig A Steele

Individual

812 Rivanna River Reach

Chesapeake, VA

1942418405

Brett Joseph Cummings

Individual

Uss Gonzalez (ddg 66)

Norfolk, VA

1326242215

MR. IDC Thomas Michael Kaptur

Individual

Naval Costal Warfare Squadron Four

Norfolk Naval Shipyard Bldg 11

Portsmouth, VA

1316146731

MR. IDC Leslie Roy Bolton

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...

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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