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

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Independent Duty Corpsman Providers

NPI Name Type Address

1851563530

MR. Albert John Marcucci

Individual

14900 Park Central Rd

Thurmont, MD

1851592067

IDC Montoya Demont Gunn

Individual

1801 Fuller Rd

Suite A-01

Meridian, MS

1770810822

MR. IDC Aaron David Levy

Individual

Naval Undersea Medical Institute 159 Trout Ave

Navsubase Nlon

Groton, CT

1912974007

MRS. Jennifer Caldwell

Individual

7641 Mercury Rd

Tinker Afb, OK

1588991400

MISS Shannon Leigh Mcgough

Individual

8901 Wisconsin Ave

Bethesda, MD

1235466004

MR. IDC Chris Sweat

Individual

8901 Wisconsin Ave

Bethesda, MD

1023048931

HMC/IDC, US NAVY Mark Alan Chesney

Individual

3573 Forest Haven Ln

Chesapeake, VA

1851433411

David Joshua Mayer

Individual

6213 Aviation Ave

Uscg Hitron6213 Bldg 1846

Jacksonville, FL

1780645051

MR. USN-IDC Brian David Campbell

Individual

7400 Sewells Point Rd

Norfolk, VA

1093043051

IDC Erik Christian Ketelsen

Individual

4653 Dock Rd

Bldg 524

Port Hueneme, CA

1992033898

Bopha Chan

Individual

Psc 482

Box 2520

Fpo, AP

1619205531

MR. IDC Paul Eldon Bauer II

Individual

Uss Barry Ddg 52

09565-1270

Fpo, AE

1679801401

MR. HMC John Acido Infante

Individual

Uss Boise

Ssn 764

Fpo, AE

1801125497

MISS IDC Elizabeth Ann Hines

Individual

Uss Frank Cable

Med Dept

Fpo, AP

1528397072

IDC Donald Dadson Delpilar

Individual

Clb-1 Headquarters Company

Box 555737

Camp Pendelton, CA

1497084677

IDC Jerald J Poole

Individual

Uss Ramage

Ddg 61

Fpo, AE

1467781666

IDC Chris Ebert

Individual

3001a Sixth Street

Great Lakes, IL

1750610788

MS. IDC Melissa Christine Foster

Individual

2901 Amphibious Drive

Acu-2

Norfolk, VA

1083944938

IDC Milagros Torres

Individual

5059 Glen Canyon Dr

Virginia Beach, VA

1801126289

IDC Daniel Michael Covitz

Individual

1317 Ballahack Rd. Ste 100

Capt W.l. Mcgonagle Branch Clinic Nsa Northwest

Chesapeake, VA

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