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

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Independent Duty Corpsman Providers

NPI Name Type Address

1710036678

MR. Eugene Robert Mason

Individual

Bldg 42 Coast Guard Island

Alameda, CA

1790835742

MR. IDC Felizardo Bacaro Tria

Individual

1145 Sturgis Street

Naval Hospital

Twentynine Palms, CA

1487707840

IDC Danielle Tabitha Tuton-gillette

Individual

2650 Stockton Rd

San Diego, CA

1699825497

MR. IDC Corey Mitchell Miller

Individual

Naval Hospital Twentynine Palms Bldg 1145 Sturgis St.

Twentynine Palms, CA

1689727539

MS. Elaine A. Jergons

Individual

Building N-46

Kodiak, AK

1265585640

IDC James H Martin

Individual

2650 Stockton Rd

San Diego, CA

1215082862

MR. IDC Mikel E Coates

Individual

1885 Terrier Ave

Suite 100

Virginia Beach, VA

1780739110

IDC Jennifer Kaye Murphy

Individual

1550 Tomcat Blvd

Virginia Beach, VA

1770638413

MR. HS Rocky James Gipson

Individual

Uscgc Bertholf (wmsl-750)

Coast Guard Island

Alameda, CA

1295872232

IDC Byron Pack

Individual

533020 Basoline Rd

Camp Horno

Camp Pendleton, CA

1114064789

MR. IDC Jay Russell Waite

Individual

4755 Pasture Rd

Fallon, NV

1609914449

Adam D Cravey

Individual

Building N-46 Cape Sarichef

Kodiak, AK

1922140698

HS Timothy Hamilton Estes

Individual

417 Utah Dr Apt D

Petaluma, CA

1063547966

MS. HS Jivonne Nikell Prioleau-green

Individual

1 Washington Ave

Philadelphia, PA

1598807588

Juan C Guevara

Individual

Building N-46 Capesarichef

Kodiak, AK

1710020763

MR. NREMT Ryan Michael Gauger

Individual

Comdt Cg-1122 Us Coast Guard

2100 2nd St Sw Suite 5314

Washington, DC

1720123391

Todd Christopher Wilson

Individual

7520 Transom Ct

Tampa, FL

1306971650

HS1 Aide' Rodriguez Marcontell

Individual

1980 Anchorage Port Rd

Msst Anchorage (91111)

Anchorage, AK

1447387147

MR. IDC Rodney Scott Ruth JR.

Individual

Bldg 1145 Sturgis Street

Twentynine Palms, CA

1629108881

MR. IDC Gabriel S Tellez

Individual

1455 Ticonderoga

Mcm Crew Fearless, Comcmron 2, Naval Station

Ingleside, TX

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