Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 67

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Independent Duty Corpsman Providers

NPI Name Type Address

1316148166

Brian Stadther

Individual

2050 Barb St

Silverdale, WA

1588865364

SUBMARINE IDC Robert John Ripps

Individual

2050 Barb St

Silverdale, WA

1306044268

MR. I.D.C. Armando Garza

Individual

2000 W Marine View Dr

Everett, WA

1487850137

MR. IDC Brian Albert Nielson

Individual

1662 Northlake Way Nw

Bremerton, WA

1770527962

IDC Patrick Blake West

Individual

Uss Louisiana Ssbn 743 (blue)

2100 Thresher Ave

Silverdale, WA

1477742872

MR. IDC Richard Ryan Tomlinson

Individual

3475 N Saratoga St

Oak Harbor, WA

1548289069

MR. NAVY IDC Michael Nord

Individual

7481 Bridlevale Blvd Nw

Bremerton, WA

1700062593

SFIDC Jason Schwieterman

Individual

2200 Scorpion Ave

Silverdale, WA

1487723532

MR. IDC Karl Frederic Matous

Individual

Msron 9 Naval Station Everett

2000 Marine View Drive Building 2134

Everett, WA

1568633113

MR. IDC Stephen Zachary Taylor

Individual

62c Haven Rd

Bremerton, WA

1609049774

MR. IDC Jonathon Luther Kelly

Individual

1 Boone Rd

Naval Hospital Bremerton

Bremerton, WA

1245499441

IDC Paul Dean Klahr

Individual

2100 Thresher Ave

Silverdale, WA

1922239649

IDC Todd David Levi

Individual

3470 N Saratoga St

Oak Harbor, WA

1518119676

Adam Brent Cary

Individual

2100 Thresher Ave

Silverdale, WA

1083944409

Joseph Enderton

Individual

3864 Chum Ln Nw

Bremerton, WA

1366773038

Mario M Faria

Individual

2100 Thresher Ave

Uss Pennsylvania Ssbn 735

Silverdale, WA

1790016822

MR. INDEPENDENT DUTY HM Benjamin Franklin Morgan IV

Individual

Naval Hospital Oak Hbr

3475 N Saratoga

Oak Harbor, WA

1255653358

IDC Dennis Wayne Dowrey

Individual

7111 Sealion Rd

Silverdale, WA

1962723668

MR. OTHER Christopher Deon Davis

Individual

2100 Thresher Ave

Uss Henry M Jackson Ssbn 730(g)

Silverdale, WA

1023222460

MS. SFIDC Nancy M Coffee

Individual

1 Boone Road

Naval Hospital Bremerton

Bremerton, WA

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