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

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Independent Duty Corpsman Providers

NPI Name Type Address

1548583347

IDC Ryan Walter Dilks

Individual

Commanding Officer Attn: Mdr

Uss Tennessee (ssbn 734)(blue)

Fpo, AE

1679896427

MR. IDC Mark A. Laforme

Individual

216 Bunker Ct

Jacksonville, NC

1225351760

IDC Jocelyn Martinezdelgado

Individual

8857 1st Street

Pcu Jason Dunham Suite 400

Norfolk, VA

1184811820

IDC Renee Ann Langbein

Individual

Uss John C. Stennis Cvn 74

Medical Department Box 67

Fpo, AP

1295059491

William Lee Mark Stone

Individual

5722 Integrity Dr Bldg S-771

Millington, TN

1275717092

IDC Michael Arnez Leggett

Individual

1063 Uss Georgia Ave

Commander Submarine Group Ten

Kings Bay, GA

1932177995

MR. IDC Christopher Lee Harris

Individual

Uss Alaska (ssbn 732)(blue)

Fpo, AA

1174641344

IDC Bryan Paul Zimmerman

Individual

2360 Amphibious Dr

Virginia Beach, VA

1174848683

Jack Thammavongsa

Individual

3d Med Bn, 3d Mlg

H&s Co Unit #38447

Fpo, AP

1255656633

MR. IDC Stephen E Hartman

Individual

Uss Harry S. Truman

Box 80

Fpo, AE

1871554287

MR. I.D.C Jeffrey Scott Martin

Individual

881 Uss James Madison Rd

Kings Bay, GA

1407171556

MR. IDC Michael Joseph Dipietro III

Individual

Uss De Wert (ffg 45)

Medical Department

Fpo, AA

1659696722

Denise Marie Galvan

Individual

Fc308 Daily St

Camp Lejeune, NC

1992020853

IDC Angelia Nichole Dini

Individual

Uss Mccampbell Ddg 85

Fpo, AP

1396061933

MR. IDC Andrew D. Bickham

Individual

159 Trout Avenue

Groton, CT

1922324276

MR. Mark Duane Gibson

Individual

Uss Louisville

Fpo, AP

1134445414

MS. Elizabeth Anne Plettner

Individual

162 1st St

Port Hueneme Cbc Base, CA

1497917876

MR. Scott David Arnold

Individual

320 Dewey Ave Ste A

Naval Special Warfare Preparatory School Bldg 322

Great Lakes, IL

1164748174

MR. IDC Brent C Pope

Individual

Psc 451 Box 340

Fpo, AE

1144546847

MR. IDC Benjamin John Grover

Individual

159 Trout Avenue

Groton, CT

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