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

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Independent Duty Corpsman Providers

NPI Name Type Address

1881844538

MR. SFIDC Michael Charles Menninger

Individual

1451 Lexington Blvd

Building 300, Suite 149

Ingleside, TX

1538319223

IDC Christopher Golden

Individual

201 Thoroughbred Ln

Chesapeake, VA

1821248550

IDC Aaron Prestelle Mcknight

Individual

4 Buckeye Rd

Groton, CT

1013097674

James C. Morgan

Individual

Comdt (cg-1122), U.s. Coast Guard 2100 2nd St Sw

Suite 5314

Washington, DC

1104077445

MR. IDC Jason Lee Schneider

Individual

1815 Seabee Dr

Norfolk, VA

1912158122

MR. IDC Eulogio Quintos Gutierrez

Individual

1058 Middaugh Street

Kaneohe Bay, HI

1164673398

IDC David Jonathan Hartzell

Individual

2521 Alleghany Loop

Virginia Beach, VA

1801047741

Joshua Ash

Individual

Marine Special Operations Advisor Group

Attn: Medical Dept.

Camp Lejeune, NC

1972754810

Scott Lovvorn

Individual

Marine Special Operations Advisor Group

Attn: Medical Department

Camp Lejeune, NC

1689826224

Francisco Roberto Lazarin JR.

Individual

Uss Frd

Fpo, AP

1922282201

INDEPENDENT DUTY COR William James Davis

Individual

204 Stonehall Ct

Virginia Beach, VA

1740432178

Jason Adams

Individual

Msoag Aid Station

Bldg 1211

Camp Lejeune, NC

1760444681

MR. IDC Joseph David Matthews III

Individual

4711 Nevada St

Honolulu, HI

1992774640

MRS. IDC Shannon Christine Hudson

Individual

47149 Buse Rd

Unit #1370

Patuxent River, MD

1003068214

MR. Leander Jostin Beams SR.

Individual

Uss Annapolis Ssn 760

Fpo, AE

1316199458

MR. Raymond F Meyers

Individual

Uss New Hampshire

Ssn 778

Fpo, AE

1093967044

MR. IDC John Christopher Sims

Individual

2080 Child St

Jacksonville, FL

1255583225

MR. IDC Kevin Charles Heingarten

Individual

143 Spring Leaf Ln

Jacksonville, NC

1699927632

MS. IDC Rosanna Renee Rodriguez

Individual

2250 Stanley Rd

Suite 36

Fort Sam Houston, TX

1598918310

MS. Holly Ann Crabtree

Individual

34800 Bob Wilson Dr

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...

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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