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

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Independent Duty Corpsman Providers

NPI Name Type Address

1265620769

Mark Alan Seidell

Individual

Uss Mustin Ddg 89

Fpo, AP

1285880831

MR. SF IDC Donald William Aichroth

Individual

Bldg 2496, Bauer Road

Bmc Miramar

San Diego, CA

1386802882

BSW, MA Judith Duncan

Individual

340 W Grand Blvd

Detroit, MI

1801929237

MR. IDC Juan Niosco Breboneria JR.

Individual

Uss Mccampbell

Ddg 85

Fpo, AP

1689821977

MR. US NAVY IDC Timothy Ervin George JR.

Individual

Uss Lassen

Fpo, AP

1669629952

IDC Charles Lee Armstrong JR.

Individual

U.s. Naval Hospital Okinawa

Psc 482

Fpo, AP

1578710869

IDC Arthur William Patrie

Individual

U.s. Naval Hospital Okinawa

Psc 482

Fpo, AP

1548417843

MR. IDC Cameron Wayne Moffatt

Individual

Uss Forrest Sherman

Unit 23149

Fpo, AE

1801043070

SUBMARINE FORCE IDC Anthony Edward Geron

Individual

Uss Seawolf (ssn 21)

Fpo, AP

1538316724

MR. USN IDC Donald Dwayne Pittman

Individual

Psc Box 20106

Marine Special Operations Advisor Group

Camp Lejeune, NC

1942262340

MR. IDC Bernard L. Hodges

Individual

620 John Paul Jones Cir

Naval Medical Center Portsmouth / Sarp

Portsmouth, VA

1811144546

IDC Nelson Jose Mejia

Individual

33000 Nixie Way

Bldg.#50, Ste.#245

San Diego, CA

1699922161

IDC Brian Thomas

Individual

34101 Farenholt Ave

San Diego, CA

1669629069

Michael Roush

Individual

2600 Tarawa Ct

Norfolk, VA

1780832022

MR. IDC Barry Charles Gibson

Individual

100 Brewster Blvd

Nh Camp Lejeune

Camp Lejeune, NC

1659529964

MR. IDC Charles Keith Mahan

Individual

2600 Tarawa Ct

Norfolk, VA

1891943825

INDEPENDENT DUTY HM Michael Jacob Loeffler

Individual

1959 Morris St

Bldg Z101

Norfolk, VA

1649428525

IDC Alexander Richard Misiunas

Individual

2833 Heritage Dr

Suffolk, VA

1528047966

HS Danielle Mae Buffington

Individual

1297 N Lightning Rd

Hunter Army Airfield

Savannah, GA

1356318331

Michael Napolitano

Individual

Building 76 2nd Deck Naval Submarine Base Nlon

Naval Submarine Support Center Groton

Groton, CT

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