Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Eugene Johnson |
Individual |
2080 Child St Naval Air Station Jacksonville, FL |
|
|
David Justin Talmadge |
Individual |
242 Laraway St. Oceanside, CA |
|
|
MR. IDC Bruce Wayne Wilson JR. |
Individual |
Uss Nashville Lpd 13 Fpo, AE |
|
|
MR. Martin A Howard |
Individual |
Psc 451 Box 340 Medical Cepartment Fpo, AE |
|
|
MR. IDC Seth Michael Matteson |
Individual |
Marine Forces Special Operations Command/ Msosg Psc Box 20116 Camp Lejeune, NC |
|
|
Judith L Grimes |
Individual |
1706 Stanley Rd Suite 91 Fort Sam Houston, TX |
|
|
IDC William David Larson |
Individual |
350 South Crag Rd. Panama City, FL |
|
|
IDC Terry Dwayne Shoulders |
Individual |
3402 Tarawa Rd. Special Boat Team Twelve Medical Department San Diego, CA |
|
|
SOIDC Anthony Shattuck |
Individual |
2d Marine Special Operations Battalion Psc 20183 Camp Lejeune, NC |
|
|
MR. John Franklin Wendelschaefer JR. |
Individual |
709 W 9th St Suite 627 Juneau, AK |
|
|
MR. CORPSMAN Michael Stephen Lackney |
Individual |
Dthc Arlington Navy Annex Clinic F.o.b. #2 Room 1323 Washington, DC |
|
|
NAVY IDC Jeremy K Torrisi |
Individual |
2d Marine Special Operations Bn Psc Box 20183 Camp Lejeune, NC |
|
|
IDC Jason Alan Macias |
Individual |
3d Med Bn, 3d Mlg Commanding Officer Unit 38447 Fpo, AP |
|
|
MR. IDC William Fitch Montfort IV |
Individual |
101 Vernon Ave Bldg 89-a Panama City Beach, FL |
|
|
IDC Marc M Vidale |
Individual |
3325 Senn Rd Suite 7 Bldg 55 San Diego, CA |
|
|
IDC Albert Richmond |
Individual |
Nolf Ib Bldg 196 Box 357140 San Diego, CA |
|
|
MR. SFIDC David Minchin |
Individual |
Psc 819, Box 18- 50 Fpo, AE |
|
|
MR. IDC David Alan Donahue |
Individual |
1300 Helicopter Rd Bldg 3812 Norfolk, VA |
|
|
MR. IDC Benjamin Noel Paloy Carrido |
Individual |
2969 Atlantic Blvd Apt 115 Ingleside, TX |
|
|
IDC Jason C Spurgers |
Individual |
167 Plumeria Santa Rita, GU |
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 |