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

Copy url
Copy url

Independent Duty Corpsman Providers

NPI Name Type Address

1942447586

MR. IDC Keith Francis Eten

Individual

34800 Bob Wilson Drive

San Diego, CA

1710956032

Patrick Joseph Bishop

Individual

1 West Ave

Suite 230

Saratoga Springs, NY

1578701751

Rodney Lybarger

Individual

7b Jencks Rd

Foster, RI

1942448048

IDC James Alfonso Abeyta

Individual

3402 Tarawa Rd

San Diego, CA

1538362041

MS. Elizabeth Ann Davenport

Individual

734 Carpenter Park Apt A

Patuxent River, MD

1073603817

MR. Robert Frank

Individual

632 Coast Guard Dr

Uscgc Mackinaw Wlbb 30

Cheboygan, MI

1164661732

MR. INDEPENDENT DUTY HM Louie Badiola Bismonte

Individual

937 Franklin Blvd

Lemoore, CA

1356580930

IDC Randy A Gallogly

Individual

26 Baltic Rd

North Franklin, CT

1558500090

IDC Sean Patrick Overlie

Individual

2496 Bauer Rd.

Bmc Mcas Miramar

San Diego, CA

1245479708

David Farque

Individual

124 Locust Cir

Groton, CT

1508006149

MRS. IDC Kathy Rebecca Sullivan

Individual

Msron Five Medical Department

Nolf Ib Building 169

San Diego, CA

1629218680

SUB IDC Ronald Quinn Goodson

Individual

Uss Norfolk Ssn-714

Fpo, AE

1336389253

MR. IDC Andrew Thomas Hastings

Individual

Beaufort Road

Building 4389

Cherry Point, NC

1225278021

MR. IDC Jerod Napier Napier

Individual

Uss Patriot Fpo Ap 9667-1225

Fpo, AP

1528209160

MR. SFIDC William Joseph Harris JR.

Individual

1636 Regulus Ave

Nswdg (n00m)

Virginia Beach, VA

1144461799

MR. Lemuel U Paalam

Individual

Uss Montpelier

(ssn 765)

Fpo, AE

1285875328

MR. IDC Allen Christopher Pate

Individual

Naval Operational Medicine Institute Building 632044

Detachment Naval Expeditionary Medical Training Inst.

Camp Pendleton, CA

1487895330

Dennis Allen Russell

Individual

650 Joel Dr

Fort Campbell, KY

1740422237

MR. David Raymond Ditman

Individual

Uss California (ssn 781)

Supervisor Of Shipbuilding, Conversion& Repair, Usn

Newport News, VA

1649412149

IDC Tracy Joel Danley

Individual

Uss Greenville # Ssn772

Fpo, AP

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...

Copy url
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
Copy url

Military Health Care Provider Codes

Independent Duty Medical Technicians

1710I1003X • providers: 1,299

Military Health Care Provider

171000000X • providers: 1,689