| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Dion Ericson Blake |
Individual |
Uss John L. Hall Fpo Aa 34091 Jacksonville, FL |
|
|
Ryan T De La Cruz |
Individual |
Nmcb - 3 Unit 25269 Fpo Ap 96601 Port Hueneme, CA |
|
|
IDC Allan Dinoso Felicano |
Individual |
Bldg 601 Mccaine Blvd Branch Medical Clinic San Diego, CA |
|
|
MR. IDC Allan B Navarro |
Individual |
2805 Via Diego Carlsbad, CA |
|
|
Troy Bruce Martin |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MR. IDC Stephen Zachary Taylor |
Individual |
62c Haven Rd Bremerton, WA |
|
|
Christopher Cariss |
Individual |
1840 Gator Blvd Norfolk, VA |
|
|
MR. Enrique Escapolar Dedios JR. |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Donald Reid Rosario |
Individual |
35000 Guadalcanal Ave Bldg 596 San Diego, CA |
|
|
MR. IDC Clay Arthure Cooper |
Individual |
41256 Stuart Mesa Rd Camp Pendleton, CA |
|
|
IDC Clarence Dean Conner |
Individual |
41883 Dahlias Way Murrieta, CA |
|
|
IDC William Domingo Hernandez |
Individual |
1st Battalion 4th Marines Battalion Aide Station Camp Pendleton, CA |
|
|
MR. IDC Craig Charles Rosario |
Individual |
Mcas Bmc Miramar Bldg 2496, Bauer Rd. San Diego, CA |
|
|
IDC Rosalea Nellie Sanderson |
Individual |
Psc 455, Box 156 Fpo, GUAM |
|
|
MR. IDC Jonathon Luther Kelly |
Individual |
1 Boone Rd Naval Hospital Bremerton Bremerton, WA |
|
|
Paris Dunomes |
Individual |
2080 Child St Jacksonville, FL |
|
|
MISS IDC Catherine Antonie Kaufman |
Individual |
Naval Hospital Camp Pendleton Directorate Of Surgical Services Camp Pendleton, CA |
|
|
Gabriel M Gallinal |
Individual |
2d Marine Regiment Attn:regimental Aid Station Camp Lejeune, NC |
|
|
MR. IDC Jose Rommel Montano Rayos |
Individual |
Psc 561 Box 1877 Yamaguchi, FPO AP |
|
|
IDC Troy Denesty Haynes |
Individual |
2108 Scotland St Virginia Beach, VA |
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 |