Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Brandon Balisacan Dela Cruz |
Individual |
D Street Building 202 Jacksonville, NC |
|
|
MR. IDC Christopher George Boyce |
Individual |
Comsubron 15 Santa Rita, GUAM |
|
|
IDC Richard Eduardo Mascioni |
Individual |
800 Seal Beach Blvd #22 Seal Beach, CA |
|
|
IDC Jeremy Louis Stover |
Individual |
55101 Marvin Shields Blvd Gulfport, MS |
|
|
MR. IDC Eric James Motz |
Individual |
2603 Lower Gainesville Road Stennis Space Center, MS |
|
|
SFIDC Valentino Villazor Gaudia |
Individual |
Mwss 172 Medical Unit 37206 Fpo, JP |
|
|
MS. Lashawn Michelle Young |
Individual |
Psc 451 Box 340 Medical Fpo, AE |
|
|
Steven Gurat Cassler |
Individual |
Psc 466 Box 3 Fpo, AP |
|
|
Darin William Schneider |
Individual |
2100 2nd St Sw Washington, DC |
|
|
MR. IDC Junne Morada Bernardo |
Individual |
5730 Louisiana St Camp Lejeune, NC |
|
|
Rorai Greenan |
Individual |
Uscg Hq Comdt (cg1122) 2100 Second Street Sw Washington, DC |
|
|
MR. IDC James Reginald Wyche |
Individual |
814 Radford Blvd Suite 20328 Albany, GA |
|
|
MR. IDC Thomas Martin Smalls II |
Individual |
1808 Shupper Dr Yorktown, VA |
|
|
HEALTH SERVICES TECH Christine Leigh Bonifacio |
Individual |
Uscg Hq Comdt (cg-1122) 2100 Second St., Sw. Washington, DC |
|
|
MR. IDC James Kofi Osei |
Individual |
2600 Tarawa Ct Bldg 1602, Pc Crew Bravo Norfolk, VA |
|
|
MR. IDC Jeffrey Douglas Fisher |
Individual |
2709 Apt A Cushman Ave Kailua, HI |
|
|
MR. NAVY IDC Sean Edward Snook |
Individual |
3985 Cummings Rd Ste 4 Bldg 116 San Diego, CA |
|
|
MR. Christopher Proctor |
Individual |
3985 Cummings Rd Ste 4 Bld 116 San Diego, CA |
|
|
IDC Tyson Earl Hensel |
Individual |
Mclb Barstow Bldg 17 Barstow, CA |
|
|
Carla Christine Clawson |
Individual |
290 4th St Nchb-1 Medical Dept Williamsburg, VA |
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 |