Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
IDC Dennis Michael Polli |
Individual |
1575 Gator Blvd Bldg 3504 Nab Little Creek Norfolk, VA |
|
|
IDC James Jon Ruane |
Individual |
6935 Liverpool Ct Ne Bremerton, WA |
|
|
MS. IDC Sheila Lee Shipman |
Individual |
Nmcb Seven Unit 60252 Gulfport, MS |
|
|
IDC Edmundo Del Castillo |
Individual |
2250 Stanley Rd Ste 36 Fort Sam Houston, TX |
|
|
MR. IDC Jeffrey Allen Tice |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Mark Conway Valencia |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
|
|
MR. IDC Juan Terrell Dozier |
Individual |
Psc Box 8023 Cherry Point, NC |
|
|
MR. IDC Jason Harold Henry |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Hosea Smith JR. |
Individual |
Naval Coastal Warfare Squadron Four Nnsy Bldg 11 Rm 103 Portsmouth, VA |
|
|
MS. IDC Kellie Lynn Hamilton |
Individual |
Naval School Of Health Sciences 34101 Farenholt Ave, Bld 14 San Diego, CA |
|
|
Daniel Gilbert |
Individual |
1465 Hewitt Dr Norfolk, VA |
|
|
Glenn Hunsinger |
Individual |
1004 Hermitage Rd Norfolk, VA |
|
|
MR. IDC Mark C Valdez |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
MR. IDC Rene Calampinay Cardinal |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
IDC Michael James Bagley |
Individual |
4922 Kamehameha Loop Honolulu, HI |
|
|
MR. IDC Torsak Vimoktayon |
Individual |
1147 Mayport Landing Cir Atlantic Beach, FL |
|
|
SURFACE IDC Paul James Leners |
Individual |
3455 Sturtevant St Ste 1 San Diego, CA |
|
|
IDC (NAVY) George Thomas Stevens IV |
Individual |
3330 Tarawa Rd Bldg 327 San Diego, CA |
|
|
MS. IDC Debra A Lancaster |
Individual |
13201 Companion Ct Jacksonville, FL |
|
|
MR. IDC Christopher Lee Nehlen |
Individual |
1st Medical Battalion 1st Mlg Camp Pendleton Oceanside, CA |
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...
| 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 |