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

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Independent Duty Corpsman Providers

NPI Name Type Address

1255526547

MR. SFIDC Kevin Dale Joyner

Individual

3259 Catlin Ave

Naval Health Clinic Quantico

Quantico, VA

1861688301

MRS. IDC Victoria Elaine Harvey

Individual

2901 Amphibious Dr

Bldg 1522

Norfolk, VA

1851587166

IDC Jeffrey Robert Geiser

Individual

3259 Catlin Ave

Quantico, VA

1952379919

IDC Steven W. Wood

Individual

Naval Health Clinic Quantico

Quantico, VA

1982891156

IDC Jason Keith Noble

Individual

272 Carawan Ln

Chesapeake, VA

1972791218

MR. IDC Theodore Harrison JR.

Individual

3020 Silver Charm Cir

Suffolk, VA

1720048408

IDC Christine Louise Manning

Individual

192 Caffee Rd.

Bhc Dahlgren

Dahlgren, VA

1982885182

MR. IDC Thomas Martin Smalls II

Individual

1808 Shupper Dr

Yorktown, VA

1891976726

MR. IDC James Kofi Osei

Individual

2600 Tarawa Ct

Bldg 1602, Pc Crew Bravo

Norfolk, VA

1790967503

Carla Christine Clawson

Individual

290 4th St

Nchb-1 Medical Dept

Williamsburg, VA

1205018819

MR. Keith Staples

Individual

1310 8th St

Suite 100

Norfolk, VA

1043493018

MRS. IDC Tammy Archibald

Individual

1035 Nider Blvd Ste 100

Norfolk, VA

1679756340

Joshua Guy Reid

Individual

1035 Nider Blvd Ste 100

Norfolk, VA

1427235803

Travis Daniel Miller

Individual

1078 Hospital Rd

Fort Story, VA

1720266422

SFIDC Jesse R Bedia

Individual

1400 Otterbourne Cir

Chesapeake, VA

1417126749

IDC Damon Anderson

Individual

108 Brentwood Cir

Virginia Beach, VA

1386814697

MR. IDC Travis James Harmon

Individual

1550 Tomcat Blvd

Virginia Beach, VA

1902076219

MRS. IDC Pamela Jeanne Arceneaux

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1710157029

MS. Anita Dalton

Individual

554 Loch Ness Dr Apt E

Newport News

Newport News, VA

1760654149

Christopher Cariss

Individual

1840 Gator Blvd

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...

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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