Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Ward Evan Taft |
Individual |
2d Marine Special Operations Battalion Psc20183 Camp Lejeune, NC |
|
|
MR. IDC Ronnie David Bayless JR. |
Individual |
2d Marine Special Operation Battalion Psc Box 20183 Camp Lejeune, NC |
|
|
Gerald Derand Jackson |
Individual |
2104 Massey Ave Jacksonville, FL |
|
|
MR. IDC Christopher Anthony Trivino |
Individual |
2005 Knight Lane Bldg.h Navy Medicine Support Command, Attn: Mssd Jacksonville, FL |
|
|
Kevin Leigh Russell |
Individual |
Msron-6 Bldg 15, Norfolk Naval Shipyard Portsmouth, VA |
|
|
MR. SFIDC Shawn Paul Brooks |
Individual |
Uss Decatur Ddg 73 Fpo, AP |
|
|
CHP Caroline Kankanton Finney |
Individual |
3380 C. Street Suite 100 Anchorage, AK |
|
|
IDC Edwin Dante Albino |
Individual |
12230 Painted Tree Rd Charlotte, NC |
|
|
MS. IDC Kimberly Leigh Weber |
Individual |
Msron 5 Fpo, AP |
|
|
IDC Heather Allison Anderson |
Individual |
1721 Taussig Blvd Jason Dunham Ddg 109 Naval Station Norfolk, Norfolk, VA |
|
|
MR. IDC Cory D. Perry |
Individual |
Uss Elrod Ffg 55 Fpo, AE |
|
|
MR. DMT, IDC Brian Scott Anderson |
Individual |
1465 Hewitt Dr Norfolk, VA |
|
|
INDEPENDENT DUTY HM Christopher Andrew Dejesus |
Individual |
401 Locust Ct Suffolk, VA |
|
|
I.D.C. Brandon Wayne Schwartz |
Individual |
Special Boat Team 22 2603 Lower Gainesville Road Stennis Space Center, MS |
|
|
MR. INDEPENDENT DUTY HM Rodolfo Pineda Manansala |
Individual |
601 D St Bldg 130-h Great Lakes, IL |
|
|
IDC Glenn A Keefer |
Individual |
Uss Mahan Fpo, AE |
|
|
MR. IDC Justin Garofolo Mannick |
Individual |
614 Graystone Ave Jacksonville, NC |
|
|
MR. IDC Ralph Duron |
Individual |
601 Mccain Blvd San Diego, CA |
|
|
MR. NAVY IDC Mervin Peter Santos |
Individual |
Uss Winston S. Churchill Ddg 81 Medical Dept Fpo, AE |
|
|
IDC Edinito Gulfan Purog |
Individual |
1888 Crossroads St Chula Vista, 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...
| 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 |