Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Timothy Wayne Sefa |
Individual |
35000 Guadalcanal Ave San Diego, CA |
|
|
MISS HM Tonya Victoria Jones |
Individual |
5720 Integrity Dr Millington, TN |
|
|
MR. SFIDC Jeffrey Scott Coslett |
Individual |
Uss Underwood (ffg 36) Medical Department Fpo Aa, FL |
|
|
MR. I.D.C. John Arthur Fenstermacher |
Individual |
103 Cherrywood Ct Jacksonville, NC |
|
|
IDC Jason Keith Noble |
Individual |
272 Carawan Ln Chesapeake, VA |
|
|
MR. IDC Gary Stephen Mihalko JR. |
Individual |
39 Lansdowne Rd Naval Branch Medical Clinic Lakehurst, NJ |
|
|
MR. IDC/RN Leo Borisovich Bugaeff I |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
Tracie L Ham |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Theodore Harrison JR. |
Individual |
3020 Silver Charm Cir Suffolk, VA |
|
|
IDC Robert Ray Stewart |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MDR Westley Michael Durnell |
Individual |
580 Uss Mariano G. Vallejo Ave Nssc Medical Kings Bay, GA |
|
|
IDC James Carl Bedingfield |
Individual |
31 Area Branch Medical Clinic Bldg. 310514 Camp Pendleton, CA |
|
|
IDC Michael Haydn Deaner |
Individual |
Uss Cowpens Fpo, AP |
|
|
MR. IDC Richard Ryan Tomlinson |
Individual |
3475 N Saratoga St Oak Harbor, WA |
|
|
Charles J. Favela |
Individual |
100 Trumbo Point Key West, FL |
|
|
IDC Luis Agravante Nunez |
Individual |
Us Naval Hospital Yokosuka Psc 475 Box 1413 Fpo Ap, JAPAN |
|
|
IDC Justin Sutton Sutton |
Individual |
201 Kings Pond Dr Jacksonville, NC |
|
|
IDC Hubert Williams |
Individual |
814 Radford Blvd Bldg 7000 Albany, GA |
|
|
IDC Christine Louise Manning |
Individual |
192 Caffee Rd. Bhc Dahlgren Dahlgren, VA |
|
|
MR. IDC George Gleason Sweeney III |
Individual |
143 Laurel Marsh Way Kingsland, GA |
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...
| 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 |