Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC John Charles Averell |
Individual |
Naval Medical Center San Diego Bldg 14 Apo, AP |
|
|
MR. IDC USN Jason Zane Dillow |
Individual |
Patrol Coastal Crew Mike Pc 2 Fpo, AE |
|
|
MR. HMC Mark Francis Jarvis |
Individual |
Nssc Nlon Bldg 76 Groton, CT |
|
|
MR. IDC Sean Gregory Pearson |
Individual |
2600 Tarawa Ct Ste 260 Norfolk, VA |
|
|
MR. IDC Timothy Douglas Bork |
Individual |
Psc 836 Box 512 Fpo, AE |
|
|
Patrick Michael Wiens |
Individual |
1745 10th St Norfolk, VA |
|
|
US NAVY IDC Douglas A Mullen |
Individual |
Uss Iwo Jima (lhd7) Medical Department Fpo, AE |
|
|
MR. Kelvin Ladon Harris |
Individual |
Uss Tennessee (ssbn 734) Fpo, AP |
|
|
MR. IDC Thomas Carter Randolph |
Individual |
Uss Elrod Ffg 55 Fpo, AE |
|
|
IDC Mark Allan Delay |
Individual |
1875 Cove Rd Bldg 3806 Norfolk, VA |
|
|
IDC Jeremy Richard Schlotterer |
Individual |
Uss Typhoon Pc-5 Fpo, AE |
|
|
IDC Gordon Arthur Smith |
Individual |
Uss Helena Ssn 725 Apo-ap, CA |
|
|
SUBMARINE IDC Eric Windsor Larson SR. |
Individual |
580 Uss Mariano G Vallejo Ave Nssc Medical Kings Bay Kings Bay, GA |
|
|
IDC Kerry Lee Barnett |
Individual |
Psc 827 Box 33 Fpo, AE |
|
|
SFIDC Greg Allan Lassiter |
Individual |
3110 B Seagull St Gulfport, MS |
|
|
MR. INDEPENDENT DUTY COR Francis Lalisan Arcilla |
Individual |
Psc 561 Box 3303 Fpo, AP |
|
|
IDC Toby Natividad Hernandez |
Individual |
Mwtc Bldg 3005 State Route 108 Attn: Medical Bridgeport, CA |
|
|
Jennifer Lynn Myers |
Individual |
140 Sylvester Rd San Diego, CA |
|
|
MR. IDC Randall Victor Johnson |
Individual |
Uss West Virginia (ssbn 736) (blue) Fpo, AA |
|
|
MR. IDC Gary Cherry JR. |
Individual |
35000 Guadalcanal St Branch Medical Clinic Mcrd San Diego, 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 |