| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Eugene Robert Mason |
Individual |
Bldg 42 Coast Guard Island Alameda, CA |
|
|
MR. IDC Felizardo Bacaro Tria |
Individual |
1145 Sturgis Street Naval Hospital Twentynine Palms, CA |
|
|
IDC Danielle Tabitha Tuton-gillette |
Individual |
2650 Stockton Rd San Diego, CA |
|
|
MR. IDC Corey Mitchell Miller |
Individual |
Naval Hospital Twentynine Palms Bldg 1145 Sturgis St. Twentynine Palms, CA |
|
|
MS. Elaine A. Jergons |
Individual |
Building N-46 Kodiak, AK |
|
|
IDC James H Martin |
Individual |
2650 Stockton Rd San Diego, CA |
|
|
MR. IDC Mikel E Coates |
Individual |
1885 Terrier Ave Suite 100 Virginia Beach, VA |
|
|
IDC Jennifer Kaye Murphy |
Individual |
1550 Tomcat Blvd Virginia Beach, VA |
|
|
MR. HS Rocky James Gipson |
Individual |
Uscgc Bertholf (wmsl-750) Coast Guard Island Alameda, CA |
|
|
IDC Byron Pack |
Individual |
533020 Basoline Rd Camp Horno Camp Pendleton, CA |
|
|
MR. IDC Jay Russell Waite |
Individual |
4755 Pasture Rd Fallon, NV |
|
|
Adam D Cravey |
Individual |
Building N-46 Cape Sarichef Kodiak, AK |
|
|
HS Timothy Hamilton Estes |
Individual |
417 Utah Dr Apt D Petaluma, CA |
|
|
MS. HS Jivonne Nikell Prioleau-green |
Individual |
1 Washington Ave Philadelphia, PA |
|
|
Juan C Guevara |
Individual |
Building N-46 Capesarichef Kodiak, AK |
|
|
MR. NREMT Ryan Michael Gauger |
Individual |
Comdt Cg-1122 Us Coast Guard 2100 2nd St Sw Suite 5314 Washington, DC |
|
|
Todd Christopher Wilson |
Individual |
7520 Transom Ct Tampa, FL |
|
|
HS1 Aide' Rodriguez Marcontell |
Individual |
1980 Anchorage Port Rd Msst Anchorage (91111) Anchorage, AK |
|
|
MR. IDC Rodney Scott Ruth JR. |
Individual |
Bldg 1145 Sturgis Street Twentynine Palms, CA |
|
|
MR. IDC Gabriel S Tellez |
Individual |
1455 Ticonderoga Mcm Crew Fearless, Comcmron 2, Naval Station Ingleside, TX |
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...
| 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 |