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

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Independent Duty Corpsman Providers

NPI Name Type Address

1669022810

SUBMARINE IDC Shannon Dawkins

Individual

2150 Thresher Ave

Silverdale, WA

1114525730

MR. SUB IDC Javier Molina

Individual

2150 Thresher Ave

Silverdale, WA

1548931157

Andrew Schultz

Individual

2020 Guardfish St

Silverdale, WA

1760153316

Jordan Vigna

Individual

1 Ediz Hook

Port Angeles, WA

1932870417

IDHS Homero Pandula JR.

Individual

1519 Alaskan Way S

Seattle, WA

1699411264

Farrah Ashlee Jacobs

Individual

2050 Barb St Ste A

Silverdale, WA

1417694860

SUB IDC Mauricio Foronda

Individual

4627 Capelin Dr Apt D

Silverdale, 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