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

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Independent Duty Corpsman Providers

NPI Name Type Address

1518119676

Adam Brent Cary

Individual

2100 Thresher Ave

Silverdale, WA

1235469644

MR. IDC George K Grant

Individual

195 Michelle Ln

Apt 304

Groton, CT

1083944409

Joseph Enderton

Individual

3864 Chum Ln Nw

Bremerton, WA

1952631228

MR. Shawn Anthony Fisher

Individual

Uss Rhode Island (ssbn 740)

Fpo, AA

1770813982

Marco Antonio Murillo

Individual

3d Med Bn, 3d Mlg

H&s Co. Unit # 38446

Fpo, AP

1073843207

Kevin Matthew Caldwell

Individual

1901 Big Boulder Dr

Virginia Beach, VA

1043541964

MR. IDC Donald Eugene Holtzman

Individual

Uss Nebraska Ssbn 739 Gold

2100 Thresher Ave

Fpo, AP

1629309562

MR. NAVY IDC Jeremy Michael Miller

Individual

7th Esb Bas

Unit 42210

Fpo, AP

1972562007

Michael David Ferretta JR.

Individual

Uss Gonzalez Ddg 66

Medical Department

Fpo, AE

1366773038

Mario M Faria

Individual

2100 Thresher Ave

Uss Pennsylvania Ssbn 735

Silverdale, WA

1497086177

MR. Gregory Potter

Individual

100 Brewster Blvd

Naval Hospital Bmc Mcas

Camp Lejeune, NC

1972629970

MR. SFIDC Thomas Jeffrey Ruffner

Individual

5503 Marvin Shields Blvd

Nhbc Gulfport

Gulfport, MS

1942531454

MR. IDC Byron Lyn Davis

Individual

Uss Bainbridge (ddg 96)

Fpo, AE

1740511260

Frank Gonzalez V

Individual

Nmcb 4

25284

Fpo, AP

1164753695

David Josef Voda

Individual

Uss Guardian Mcm-5

Fpo, AP

1225369606

Michael Pirone

Individual

3259 Catlin Ave

Quantico, VA

1245498484

MR. NAVY IDC Gerald Lee Fitzgerald JR.

Individual

Surface Warfare Medicine Institute

3401 Farenholt Avenue

San Diego, CA

1871828723

IDC Seth T. Secrease

Individual

Naval Clinic Port Hueneme

162 1st St

Port Hueneme, CA

1467783506

IDC Dennis Jason Green

Individual

1050 Remount Rd

North Charleston, SC

1790016822

MR. INDEPENDENT DUTY HM Benjamin Franklin Morgan IV

Individual

Naval Hospital Oak Hbr

3475 N Saratoga

Oak Harbor, WA

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