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

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Independent Duty Corpsman Providers

NPI Name Type Address

1538333091

IDC Troy Denesty Haynes

Individual

2108 Scotland St

Virginia Beach, VA

1114191343

MR. SFIDC Alan P Kropf

Individual

2189 Elrod Ave

Quantico, VA

1972710168

Robert Estep Beverly JR.

Individual

2016 Adobe Ct

Virginia Beach, VA

1679749220

IDC Christopher J Marquez

Individual

1840 Gator Blvd

Seal Team Two Bldg 3841

Norfolk, VA

1386802452

MR. IDC Sean Patrick Finch

Individual

620 John Paul Jones Cir

Portsmouth, VA

1659546554

MR. SFIDC Michael Angel Santana

Individual

3259 Catlin Ave

Quantico, VA

1841459971

MR. IDC Michael Christopher Cleaves

Individual

1465 Hewitt Dr

Uct-one

Norfolk, VA

1649439605

IDC Louis Eugene Raiford

Individual

217 Heritage Oak Dr

Chesapeake, VA

1245499094

IDC Ryan Clinton Gilbert

Individual

1465 Hewitt Dr

Norfolk, VA

1356500938

MR. IDC Randy Roland Boucher

Individual

620 John Paul Jones Cir

Portsmouth, VA

1538102314

Eric James Duchesneau

Individual

620 John Paul Jones Cir

Portsmouth, VA

1427218726

IDC Percival Valenzuela

Individual

1865 Cove Rd

Bldg 3806

Norfolk, VA

1992965875

IDC David Scott Bockelman

Individual

1683 Gilbert St Ste 100

Norfolk, VA

1902066731

MR. SF-IDC Scott Lafountaine

Individual

1840 Cove Road

Naval Special Warfare Group Two Medical Department

Norfolk, VA

1386804086

MR. IDC Francis M Thomas

Individual

620 John Paul Jones Cir

Portsmouth, VA

1700048303

MR. Eric Nmn Smith

Individual

620 John Paul Jones Cir

Portsmouth, VA

1053573667

MR. Wayne M Shurtz

Individual

1721 Taussig Blvd

Norfolk, VA

1750543898

Larry Jason Flint

Individual

1550 Tomcat Blvd Ste 150

Virginia Beach, VA

1639106586

MR. Agustin Delarosa

Individual

620 John Paul Jones Cir

Portsmouth, VA

1902069990

IDC Huben Lindale Phillips

Individual

2803 Meadow Wood Ct W

Chesapeake, 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