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

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Independent Duty Corpsman Providers

NPI Name Type Address

1730371428

SFIDC Gary Wayne Hembree

Individual

22618 Clairwood St

Saint Clair Shores, MI

1902873961

IDC Alvin Rivers

Individual

110 Marble Court

Jacksonville, NC

1801088539

MR. David Anthony Ashworth

Individual

8214 W Voltaire Ave

Peoria, AZ

1003009267

Craig Steven Bosley

Individual

10 Orote Point Rd

Santa Rita, GU

1568439933

MR. IDC Lee E Pradia JR.

Individual

10651 E St

Naval Hospital

Corpus Christi, TX

1588691372

IDC Daniel Charles Hansen

Individual

730 Forrestal St

Kingsville, TX

1871787614

IDC Raymond Louis Johnson

Individual

327 Coral Sea Rd

Suite 165

Ingleside, TX

1356318315

MR. James Kevin Campbell

Individual

1711 Doolittle Ave

Fort Worth, TX

1790970184

Aaron Patrick Sikes

Individual

327 Coral Sea Rd

Ingleside, TX

1255526547

MR. SFIDC Kevin Dale Joyner

Individual

3259 Catlin Ave

Naval Health Clinic Quantico

Quantico, VA

1629263819

MR. HM1 IDC Jason Charles Wells

Individual

Psc Box 20116

Msosg, Marsoc

Camp Lejeune, NC

1417142407

Kenneth Richard Browning

Individual

Fmtu

Psc Box 20101

Camp Lejeune, NC

1396930129

Shawn Jeremy Kern

Individual

Underwater Construction Team 2 Medical

4643 Dock Road Bldg 524

Port Hueneme, CA

1306032123

MR. IDC Steve Krishna Ramlogan

Individual

503 Corbin St Apt C4

Jacksonville, NC

1841486586

MR. INDEPENDENT DUTY COR Louis Carl Delprete

Individual

1227 Mcavoy St

Jacksonville, NC

1902092679

IDC Benjamin Paul Hebert

Individual

311 Rack Ln

Hubert, NC

1861688301

MRS. IDC Victoria Elaine Harvey

Individual

2901 Amphibious Dr

Bldg 1522

Norfolk, VA

1851587166

IDC Jeffrey Robert Geiser

Individual

3259 Catlin Ave

Quantico, VA

1952379919

IDC Steven W. Wood

Individual

Naval Health Clinic Quantico

Quantico, VA

1982890299

MR. IDC Mark Joseph Kane

Individual

Psc 482 Box 2948

Fpo Ap

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