Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
HS1 Rita Main |
Individual |
Commanding Officer Us Coast Guard Suprtcen Elizabeth C Weeksville Rd Bldg 128 Elizabeth City, NC |
|
|
MR. IDC Matthew H Mcclernan |
Individual |
Uss Kentucky Ssbn 737 Gold 2100 Thresher Ave Silverdale, WA |
|
|
MR. IDC Robert David Gerardi |
Individual |
2841 Rendova Road San Diego, CA |
|
|
MR. Scott Lee Radke |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
MR. IDC Stuart Emerson Baird |
Individual |
Uss Pennsylvania (ssbn 735) (gold) Fpo Ae, WA |
|
|
MR. IDC MILITARY Michael Brian Sexton |
Individual |
Fpo Ap 96662-2418 Uss Columbus Ssn 762 Pearl Harbor, HI |
|
|
HEALTH SERVICE TECH Brian A Richardson |
Individual |
2100 2nd Street South West Washington, DC |
|
|
MR. IDC Ricardo Miguel Tubbs |
Individual |
1001 Holcomb Rd Portsmouth, VA |
|
|
MR. IDC Edwin Soto |
Individual |
Combat Logistics Regiment 27 2d Marine Logistics Group, Psc Box 20125 Camp Lejeune, NC |
|
|
MR. David Sisto |
Individual |
109 Asher Ave Pawcatuck, CT |
|
|
HM1 David Weldon Himes |
Individual |
Naval Undersea Medical Institute Bldg 159 Groton, CT |
|
|
MR. IDC David Roger Heglin |
Individual |
4643 Dock Rd Bldg 524 Port Hueneme, CA |
|
|
Matthew Lyons Dalton |
Individual |
33 Pinecrest Rd North Stonington, CT |
|
|
IDC James Adelbert Meeker |
Individual |
620 John Paul Jones Cir Portsmouth, VA |
|
|
IDC Carrie Marie Rook |
Individual |
1915 C Ave Cep-171 Room 204 Norfolk, VA |
|
|
Joseph Dennis |
Individual |
3325 Senn Rd Bldg 55 Rm 100a San Diego, CA |
|
|
MR. Robert Dennis Preston JR. |
Individual |
Brach Medical Clinic Naval Support Activity Mid-south Millington, TN |
|
|
HS Chris Gustave Evans |
Individual |
300 Main St Norfolk, VA |
|
|
MR. IDC John Thomas Diem |
Individual |
2275 Doris Miller Loop Apt C Honolulu, HI |
|
|
MR. HS Juan J Perez IV |
Individual |
1 Munro Ave Cape May, NJ |
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 |