| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Keith Francis Eten |
Individual |
34800 Bob Wilson Drive San Diego, CA |
|
|
Patrick Joseph Bishop |
Individual |
1 West Ave Suite 230 Saratoga Springs, NY |
|
|
Rodney Lybarger |
Individual |
7b Jencks Rd Foster, RI |
|
|
IDC James Alfonso Abeyta |
Individual |
3402 Tarawa Rd San Diego, CA |
|
|
MS. Elizabeth Ann Davenport |
Individual |
734 Carpenter Park Apt A Patuxent River, MD |
|
|
MR. Robert Frank |
Individual |
632 Coast Guard Dr Uscgc Mackinaw Wlbb 30 Cheboygan, MI |
|
|
MR. INDEPENDENT DUTY HM Louie Badiola Bismonte |
Individual |
937 Franklin Blvd Lemoore, CA |
|
|
IDC Randy A Gallogly |
Individual |
26 Baltic Rd North Franklin, CT |
|
|
IDC Sean Patrick Overlie |
Individual |
2496 Bauer Rd. Bmc Mcas Miramar San Diego, CA |
|
|
David Farque |
Individual |
124 Locust Cir Groton, CT |
|
|
MRS. IDC Kathy Rebecca Sullivan |
Individual |
Msron Five Medical Department Nolf Ib Building 169 San Diego, CA |
|
|
SUB IDC Ronald Quinn Goodson |
Individual |
Uss Norfolk Ssn-714 Fpo, AE |
|
|
MR. IDC Andrew Thomas Hastings |
Individual |
Beaufort Road Building 4389 Cherry Point, NC |
|
|
MR. IDC Jerod Napier Napier |
Individual |
Uss Patriot Fpo Ap 9667-1225 Fpo, AP |
|
|
MR. SFIDC William Joseph Harris JR. |
Individual |
1636 Regulus Ave Nswdg (n00m) Virginia Beach, VA |
|
|
MR. Lemuel U Paalam |
Individual |
Uss Montpelier (ssn 765) Fpo, AE |
|
|
MR. IDC Allen Christopher Pate |
Individual |
Naval Operational Medicine Institute Building 632044 Detachment Naval Expeditionary Medical Training Inst. Camp Pendleton, CA |
|
|
Dennis Allen Russell |
Individual |
650 Joel Dr Fort Campbell, KY |
|
|
MR. David Raymond Ditman |
Individual |
Uss California (ssn 781) Supervisor Of Shipbuilding, Conversion& Repair, Usn Newport News, VA |
|
|
IDC Tracy Joel Danley |
Individual |
Uss Greenville # Ssn772 Fpo, AP |
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 |