Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002

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Independent Duty Corpsman Providers

NPI Name Type Address

1497080097

MR. IDC Steven Mark Rinkavage JR.

Individual

601 D St

Great Lakes, IL

1134454770

MS. Carrie Lynn Decker

Individual

Eod Exp Support Unit One

3502 Attu Rd Bldg 326 San Diego Ca

Apo, AA

1851626345

IDC Robert Andrew Kirk

Individual

2001 Victor Wharf Access Road

Seal Delivery Vehicle Team One

Pearl City, HI

1033366232

MR. Jason William Beckford

Individual

Naval Medical Ctr

34800 Bob Wilson Drive

San Diego, CA

1902132434

IDC Martin Lee Dierks JR.

Individual

2915 Parthenon Dr

De Soto, MO

1225364755

IDC Alfredo N Alonso

Individual

Uss Doyle Ffg 39

Fpo, AA

1760718092

IDC Daniel Lee Mayberry

Individual

3d Mardiv Det

Regimental Aid Station

M C B H Kaneohe Bay, HI

1194051482

IDC Leroy Devon Mccray

Individual

Psc 567 Box 6632

Apo, AP

1043546104

MR. SUBMARINE IDC Terrence Anthony Dugay I

Individual

5090 Likini St

East Tower Unit# 1502

Honolulu, HI

1578899647

MR. Shawn Patrick Sweet

Individual

Uss Tucson (ssn 770)

Fpo, AP

1043296320

MR. INDEPENDENT DUTY HS Todd Lane Emerson

Individual

1 Munro Ave

Cape May, NJ

1821324856

IDC Avery Jerome Holmes

Individual

Building Hp217 F St

Battalion Aid Station 1st Battalion 2nd Marines

Camp Lejeune, NC

1790011740

MR. IDC Jon Scott Little

Individual

3001a Sixth Street

Great Lakes, IL

1043416001

MISS SFIDC April D. Duncan

Individual

Naval Branch Health Clinic Yuma

Bldg 1175

Yuma, AZ

1649410051

MS. IDC Charity Broomfield

Individual

Uss Bulkeley

Ddg 84, Uic 22992

Fpo, AE

1346576139

MR. IDC Ricardo Eugene Parr

Individual

Uss Pittsburgh

Fpo, AE

1104153790

MR. IDC Miguel Angel Lugo

Individual

Uss Los Angeles (ssn 688)

Fpo, AP

1467789933

Frederick M Lomasney III

Individual

1 Wahoo Ave

Groton, CT

1275860603

MR. SUBMARINE IDC Michael J. Rodriguez

Individual

822 Clark St.

Nssc Medical Suite 400

Pearl Harbor, HI

1114254448

MR. IDC Hector Joel Silva

Individual

3med Bn 3mlg H&s Co. Unit 38447

Fpo, AP

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