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

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Independent Duty Corpsman Providers

NPI Name Type Address

1659460590

MR. IDC Jerry M Smith JR.

Individual

4643 Dock Rd

Bldg 524

Port Hueneme, CA

1659451748

MRS. HS Kimberly Helen Mcqueen

Individual

3000 Kempton Park Rd

Suffolk, VA

1629158449

MR. IDC Fernando Palencia JR.

Individual

3455 Sturtevant St

Suite 1

San Diego, CA

1780765784

MR. Daniel Kirk Field

Individual

2841 Rendova Road

San Diego, CA

1154401693

MR. IDC Shawn Alan Kirkpatrick

Individual

2155 11th St

Norfolk, VA

1427139245

Patricia Loomis

Individual

3325 Senn Rd

San Diego, CA

1679654016

MR. IDC Charles Albert Williams

Individual

3455 Sturtevant St

Suite 1

San Diego, CA

1588743413

MS. IDC Angela Faye Garritson

Individual

Uss Higgins Ddg-76

San Diego, CA

1396814836

MR. MS Alberia Joseph Davis

Individual

Pcd Sampson (ddg-102)

3975 Norman Scott Rd

San Diego, CA

1558440826

IDC David F Barnet

Individual

3d Marines Regimental Aid Station

Kaneohe Bay, HI

1154491132

IDC Gary Matthew Virdell

Individual

Naval Health Clinic, Naval Station Everett

Bldg 2110

Everett, WA

1851461610

IDC Paul D Loomis

Individual

Naval Coastal Warfare Group One

Nolf Ib 357140

San Diego, CA

1396817565

IDC Steven Wyatt Twilleager

Individual

Naval Coastal Warfare Squadron Five

San Diego, CA

1316016728

MRS. Tracey Marie Waycaster

Individual

Usnh Lester

Psc 482

Fpo, AP

1366502858

MR. Raymond Lawrence Howard SR.

Individual

3001 6th St Ste A

Great Lakes, IL

1609939875

MR. Patrick Warren Horgan

Individual

2nd Batallion 3rd Marines

Kaneohe Bay, HI

1023172004

Sam Phillip Turman

Individual

1st Battalioon 3d Marines 3d Mardiv Fmf

Heaedquarters And Service Company

Mcbh Kaneohe Bay, HI

1083775613

IDC Brent A Bushnell

Individual

Psc 814 Box 19

Fpo, AE

1669535936

SFIDC Faron Michael Uebelacker

Individual

3d Med Bn 3d Mlg

Unit 38449

Fpo, AP

1720144652

IDC, USN Earl Gastador Bercide

Individual

1801 Fuller Rd

Meridian, MS

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