Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MS. IDC Beverly Jean Malm |
Individual |
8816 Manoo St Diamondhead, MS |
|
|
MR. IDC Michael D Looker |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
MR. IDC Gordon David Bland JR. |
Individual |
Naval Submarine Base New London Apo, AE |
|
|
IDC Rio Martin Yap Gomez |
Individual |
5800 Quantrell Ave #420 Alexandria, VA |
|
|
MR. IDC Michael Aaron Cotton |
Individual |
3259 Catlin Avenue Naval Health Clinic Quantico, VI |
|
|
Dana Thomas Woodward |
Individual |
Uss Hawaii Ssn-776 Fpo, AE |
|
|
IDC Thomas D Nagy |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MR. Kenneth Kevin Mccartney |
Individual |
153 Grand Marsh Bay Rd Prospect Harbor, ME |
|
|
MR. IDC Robert Anthony Bicanovsky |
Individual |
881 Uss James Madison Rd Kings Bay, GA |
|
|
MR. IDC Christopher John Yaras |
Individual |
Uss Hartford Ssn-768 Fpo, AE |
|
|
MR. IDC Michael Ryan Hendricks |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Michael Legaspi |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Omar Gerardo Azmitia |
Individual |
34101 Farenholt Ave Surface Warfare Medicine Institute San Diegot, CA |
|
|
IDC Kelly A Smith |
Individual |
5501 Marvin Shields Blvd Gulfport, MS |
|
|
SUBMARINE IDC Earl Jason Wagner |
Individual |
Uss Pittsburgh Ssn-720 Fpo, AE |
|
|
Michael 'r' Shoulberg |
Individual |
37 Potter Ave West Warwick, RI |
|
|
Elijah Litchfield |
Individual |
94-292 Kahualena St Waipahu, HI |
|
|
David Washington |
Individual |
Psc 482 Fpo, AP |
|
|
MR. IDC Jerome Stanley Harding II |
Individual |
35000 Guadalcanal St Branch Medical Clinic Mcrd San Diego, CA |
|
|
Jeff Doran |
Individual |
H-100 Santa Margarita Rd Naval Hospital Camp Pendleton Camp Pendleton, CA |
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 |