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

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Independent Duty Corpsman Providers

NPI Name Type Address

1861600389

IDC Christopher Robin Maurer

Individual

Ncws 4, Ibu 41

Nnsy Bldg 11

Portsmouth, VA

1366650145

MR. Craig A Steele

Individual

812 Rivanna River Reach

Chesapeake, VA

1053529578

US NAVY IDC Robert Claire Goodrich

Individual

34101 Farenholt Ave

San Diego, CA

1942418405

Brett Joseph Cummings

Individual

Uss Gonzalez (ddg 66)

Norfolk, VA

1346450665

MR. SFIDC Isaias C Suarez II

Individual

3325 Senn Rd

Bldg 55 Rm 228

San Diego, CA

1578773404

MR. HS, IDHS, USCG Damon Russell Lawson JR.

Individual

599 Tomales Rd

Petaluma, CA

1659581700

IDC Rashad Boyd

Individual

2740 Peninsula Rd Apt 222

Oxnard, CA

1235340738

USN IDC Edward Cliff Littler

Individual

Uss Henry M Jackson (ssbn 730)(blue)

Fpo Ap

Bangor, WA

1578765681

MILITARY IDC Chris Blane Cassell

Individual

Psc Box 20138

Camp Lejeune, NC

1821209875

MR. IDC Jason James Williams

Individual

1st Battalion, 9th Marines

Psc Box 20112

Camp Lejeune, NC

1083815831

MR. Raymond Russell Beckley

Individual

240 Manzanilla Way

Oceanside, CA

1184827941

IDC Matthew Barnhart

Individual

Mcas Branch Health Clinic

Beaufort, SC

1376754242

MR. SFIDC Joshua William Ross

Individual

Naval Ambulatory Care Clinic

162 1st Street Building 1402

Port Hueneme, CA

1487865796

Robert Joseph Coddington

Individual

Uss Wasp Lhd 1

Fpo, US

1558562645

MR. IDC Joshua Sandoval

Individual

Mag -39 Medical

Camp Pednlteon

Camp Pednleton, CA

1851595219

MR. Garry Vincent Tossing

Individual

4400 Dauphine St Bldg 601

New Orleans, LA

1316148166

Brian Stadther

Individual

2050 Barb St

Silverdale, WA

1164624938

SFIDC David Allen Stanfield

Individual

2606 Lower Gainesville Rd

Navsciatts

Stennis Space Center, MS

1982805727

IDC James Francis Ward

Individual

34101 Farenholt Ave

San Diego, CA

1336342591

MR. IDC Michael Jesse Lewis

Individual

321 Bullfinch Rd

Panama City, FL

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