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

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Independent Duty Corpsman Providers

NPI Name Type Address

1437115326

MR. IDC Nicholas Jeremy Nelsen

Individual

1721 Admiral Taussig Blvd

Norfolk, VA

1407082969

MR. SFIDC Curtis Vincent Stoughton

Individual

34101 Farenholt Ave

San Diego, CA

1699901181

IDC James M Allan

Individual

34101 Farenholt Ave

San Diego, CA

1770719270

MR. Johnathan Scott Akers

Individual

Ushinoyamachi 3 87 10

Iwakuni, YAMAGUCHI

1194935098

IDC James H Akin

Individual

580 Uss Mariano G Vallejo Ave

Kings Bay, GA

1447487566

IDC Amylyn Villena Rogers

Individual

Uss Mesa Verde Lpd 19

Fpo, AE

1598954893

IDC Lejon J Jenkins

Individual

6555 Bullion Ave

Unit B

Twentynine Palms, CA

1336377662

MR. IDC John Paulo Quitoriano

Individual

Iii Marine Expeditionary Force

Unit 35601

Fpo, AP

1336377688

MR. SFIDC Shane Oliver Chung

Individual

302 Warren Street Apt 3

Norfolk, VA

1437356912

Corey Lee Mccloud

Individual

Navy Health Clinic Hawaii

Makalapa Family Pratice Clinic

Pearl Harbor, HI

1144459652

IDMT Tekesha Lashall Terry

Individual

31st Medical Group

Unit 6180 Box 245

Apo, AE

1306075783

David Charles Halberg

Individual

5501 Marvin Shields Blvd

Gulfport, MS

1619106465

SFIDC Donald James Mcallister

Individual

2 Resolute Rd

Newport, RI

1548474802

IDC George Ross Patterson III

Individual

121 Polo Rd

Winston Salem, NC

1528298478

MR. SOIDC David Harold Thacker I

Individual

2d Reconnaissance Battalion, Ii Mef

Psc Box 20138

Camp Lejeune, NC

1699905513

MR. Jeremy Paul Pionk

Individual

700 Talon Cir

Apt 1c

Jacksonville, NC

1376773200

INDEPENDENT DUTY COR John William Buehrer

Individual

34101 Farenholt Ave

San Diego, CA

1922239649

IDC Todd David Levi

Individual

3470 N Saratoga St

Oak Harbor, WA

1780815472

MR. SUB IDC Larry Charles Gatrell JR.

Individual

Uss City Of Corpus Christi # 705

Fpo, AP

1245461870

MR. IDC Wilbur Henry Stafford

Individual

National Naval Medical Ctr

8901 Rockville Pike

Bethesda, MD

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