| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Matthew James Schaffer |
Individual |
34101 Farenholt Ave San Diego, CA |
|
|
SUBMARINE IDC Christopher Lee Drennon |
Individual |
Mcsfco Bangor Silverdlae, WA |
|
|
MR. IDC Kevin Richard Mattos |
Individual |
Marvin Shields Blvd Cbc Gulfport Gulfport, MS |
|
|
IDC David Partible Carbungco |
Individual |
Naval Hospital Camp Pendleton Box 555191-5191 Camp Pendleton,, CA |
|
|
MR. IDC Shannon Patrick Johnson |
Individual |
1004 Hermitage Rd Bldg 2052 Norfolk, VA |
|
|
MR. IDC Ralph Allen Rowe JR. |
Individual |
Mobile Security Squadron Six Nnsy Bld 15 Portsmouth, VA |
|
|
MR. IDC Corey J Seymour |
Individual |
4837 Mccall Ln Panama City, FL |
|
|
MR. IDC James Payne |
Individual |
1956c Gillespie Cir Honolulu, HI |
|
|
MR. IDC Alex Alfredo Duranalvarado SR. |
Individual |
300 Centerton Rd Moorestown, NJ |
|
|
MR. IDC Jason L Coambes |
Individual |
6292 East 43rd Street Yuma, AZ |
|
|
MR. OTHER Joseph Thomas Minich |
Individual |
2410 Sampson St Bldg 237 Great Lakes, IL |
|
|
MR. IDC, RN Preston P. Thrift |
Individual |
53560 Hull St San Diego, CA |
|
|
MR. IDC Michael Robert Grohman |
Individual |
41256 Stewart Mesa Rd Camp Pendleton, CA |
|
|
MR. SFIDC Scott A Spence |
Individual |
Uss Benfold (ddg 65) Medical Department Fpo, US NAVY |
|
|
MR. IDC Joseph Lionel Rivas SR. |
Individual |
2080 Child St Jacksonville, FL |
|
|
MR. HM IDC Scott David Graham |
Individual |
Eodmu 5 Unit 25499 2112 Sumay Cove Drive Santa Rita, GAUM |
|
|
MR. Michael Francis Mccune |
Individual |
34101 Farenholt Ave.idc Suite San Diego, CA |
|
|
IDC Luis Alexander Glinton |
Individual |
Norfolk Naval Shipyard Bldg 15 Portsmouth, VA |
|
|
MR. IDC Ronald Derald Fryar JR. |
Individual |
1451 Lexington Drive Ingleside, TX |
|
|
MS. IDC Connie Jean Lawson |
Individual |
34101 Farenholt Ave Bldg 14 San Diego, CA |
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 |