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

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Independent Duty Corpsman Providers

NPI Name Type Address

1922076827

MR. IDC Dion Ericson Blake

Individual

Uss John L. Hall

Fpo Aa 34091

Jacksonville, FL

1063682581

Ryan T De La Cruz

Individual

Nmcb - 3 Unit 25269 Fpo Ap 96601

Port Hueneme, CA

1235309758

IDC Allan Dinoso Felicano

Individual

Bldg 601 Mccaine Blvd

Branch Medical Clinic

San Diego, CA

1982875498

MR. IDC Allan B Navarro

Individual

2805 Via Diego

Carlsbad, CA

1568666584

Troy Bruce Martin

Individual

100 Brewster Blvd

Camp Lejeune, NC

1568633113

MR. IDC Stephen Zachary Taylor

Individual

62c Haven Rd

Bremerton, WA

1760654149

Christopher Cariss

Individual

1840 Gator Blvd

Norfolk, VA

1023073194

MR. Enrique Escapolar Dedios JR.

Individual

34800 Bob Wilson Dr

San Diego, CA

1417129370

MR. IDC Donald Reid Rosario

Individual

35000 Guadalcanal Ave

Bldg 596

San Diego, CA

1750553434

MR. IDC Clay Arthure Cooper

Individual

41256 Stuart Mesa Rd

Camp Pendleton, CA

1336353754

IDC Clarence Dean Conner

Individual

41883 Dahlias Way

Murrieta, CA

1316110075

IDC William Domingo Hernandez

Individual

1st Battalion 4th Marines Battalion Aide Station

Camp Pendleton, CA

1053584540

MR. IDC Craig Charles Rosario

Individual

Mcas Bmc Miramar

Bldg 2496, Bauer Rd.

San Diego, CA

1023202512

IDC Rosalea Nellie Sanderson

Individual

Psc 455, Box 156

Fpo, GUAM

1609049774

MR. IDC Jonathon Luther Kelly

Individual

1 Boone Rd

Naval Hospital Bremerton

Bremerton, WA

1609049766

Paris Dunomes

Individual

2080 Child St

Jacksonville, FL

1881646370

MISS IDC Catherine Antonie Kaufman

Individual

Naval Hospital Camp Pendleton

Directorate Of Surgical Services

Camp Pendleton, CA

1932372950

Gabriel M Gallinal

Individual

2d Marine Regiment

Attn:regimental Aid Station

Camp Lejeune, NC

1063686582

MR. IDC Jose Rommel Montano Rayos

Individual

Psc 561

Box 1877

Yamaguchi, FPO AP

1538333091

IDC Troy Denesty Haynes

Individual

2108 Scotland St

Virginia Beach, 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...

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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