| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Benjamin Wade Lambert |
Individual |
Jwtc Unit 35951 Camp Gonsalves, FPO AP |
|
|
MR. IDC Edward Nmn Goldsborough IV |
Individual |
3001 A 6th St Great Lakes, IL |
|
|
IDC Jebin James Ginet |
Individual |
14900 Park Central Rd Thurmont, MD |
|
|
MR. IDC Francisco Xavier Eavenson |
Individual |
2603 Gainesville Road Stennis Space Center, MS |
|
|
NAVY IDC Brett Staib |
Individual |
3420 Illinois St Bhc 1007 Great Lakes, IL |
|
|
MR. Dwight Jabari Ott JR. |
Individual |
43 Smith Rd Newport, RI |
|
|
IDC Patrick Blake West |
Individual |
Uss Louisiana Ssbn 743 (blue) 2100 Thresher Ave Silverdale, WA |
|
|
IDC Michael S Jimenez |
Individual |
754 Rambur St Chula Vista, CA |
|
|
IDC Edward Ervin Moak |
Individual |
1 West Ave Ste 230 Saratoga Springs, NY |
|
|
Phillip Anthony Rodriguez |
Individual |
Naval Branch Health Clinic Ingleside 327 Coral Sea Drive, Suite 165 Ingleside, TX |
|
|
MR. IDC Eduardo Malayao Magpayo |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
MR. Roy Michael Elias |
Individual |
327 Coral Sea Rd Suite 123 Ingleside, TX |
|
|
MR. SFIDC Alfonzo L Jacobs |
Individual |
707 Moss St Wildwood, FL |
|
|
IDC Mark Anthony Mitchell |
Individual |
1140 Kellum Loop Rd #36 Jacksonville, NC |
|
|
MR. IDC Melanio Ayhon Rivera |
Individual |
Cg Ii Mef Camp Lejeune, NC |
|
|
MR. I.D.C. Brandon Alan Baker |
Individual |
Nsa Crane Medical Department Bldg 2516 300 Hwy 361 Crane, IN |
|
|
MR. Joseph Armand Clairmont JR. |
Individual |
229 Parnell Rd Hubert, NC |
|
|
MR. NAVY SFIDC Christopher Allen Powell |
Individual |
14900 Park Central Rd Thurmont, MD |
|
|
MR. IDC Christian Carl Kerlick JR. |
Individual |
305 Raintree Cir Jacksonville, NC |
|
|
MRS. IDC Tia M. Johns |
Individual |
Us Naval Hospital Naples Psc 827 Box 217 Fpo, AE |
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 |