| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Albert John Marcucci |
Individual |
14900 Park Central Rd Thurmont, MD |
|
|
IDC Montoya Demont Gunn |
Individual |
1801 Fuller Rd Suite A-01 Meridian, MS |
|
|
MR. IDC Aaron David Levy |
Individual |
Naval Undersea Medical Institute 159 Trout Ave Navsubase Nlon Groton, CT |
|
|
MRS. Jennifer Caldwell |
Individual |
7641 Mercury Rd Tinker Afb, OK |
|
|
MISS Shannon Leigh Mcgough |
Individual |
8901 Wisconsin Ave Bethesda, MD |
|
|
MR. IDC Chris Sweat |
Individual |
8901 Wisconsin Ave Bethesda, MD |
|
|
HMC/IDC, US NAVY Mark Alan Chesney |
Individual |
3573 Forest Haven Ln Chesapeake, VA |
|
|
David Joshua Mayer |
Individual |
6213 Aviation Ave Uscg Hitron6213 Bldg 1846 Jacksonville, FL |
|
|
MR. USN-IDC Brian David Campbell |
Individual |
7400 Sewells Point Rd Norfolk, VA |
|
|
IDC Erik Christian Ketelsen |
Individual |
4653 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
Bopha Chan |
Individual |
Psc 482 Box 2520 Fpo, AP |
|
|
MR. IDC Paul Eldon Bauer II |
Individual |
Uss Barry Ddg 52 09565-1270 Fpo, AE |
|
|
MR. HMC John Acido Infante |
Individual |
Uss Boise Ssn 764 Fpo, AE |
|
|
MISS IDC Elizabeth Ann Hines |
Individual |
Uss Frank Cable Med Dept Fpo, AP |
|
|
IDC Donald Dadson Delpilar |
Individual |
Clb-1 Headquarters Company Box 555737 Camp Pendelton, CA |
|
|
IDC Jerald J Poole |
Individual |
Uss Ramage Ddg 61 Fpo, AE |
|
|
IDC Chris Ebert |
Individual |
3001a Sixth Street Great Lakes, IL |
|
|
MS. IDC Melissa Christine Foster |
Individual |
2901 Amphibious Drive Acu-2 Norfolk, VA |
|
|
IDC Milagros Torres |
Individual |
5059 Glen Canyon Dr Virginia Beach, VA |
|
|
IDC Daniel Michael Covitz |
Individual |
1317 Ballahack Rd. Ste 100 Capt W.l. Mcgonagle Branch Clinic Nsa Northwest Chesapeake, VA |
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...
| 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 |