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

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Independent Duty Corpsman Providers

NPI Name Type Address

1174591903

MR. Hector Luis Ortiz II

Individual

5959 Fort Caroline Rd

Apt 3104

Jacksonville, FL

1720056609

MR. OTHER Rudy Wilbert Arocha

Individual

Branch Health Clinic

327 Coral Sea Dr. Suite 165

Ingleside, TX

1245208917

MR. IDC Jonathan Platner

Individual

19314 High Pl

Saucier, MS

1285601724

IDC Norberto Caez

Individual

881 Uss James Madison Rd

Kings Bay, GA

1689642506

MR. SFIDC Kenneth Wayne Graves

Individual

Naval Hospital Corpus Christi

10651 E Street

Corpus Christi, TX

1487621942

IDC Tim Andrew Coffey

Individual

Medical Department Uss Abraham Lincoln

Fpo-ap

Everett, WA

1447227913

Timothy Nicholas Dittlinger

Individual

100 Brewster Blvd

Camp Lejeune, NC

1699743534

IDC Mark L Williamson

Individual

3325 Senn Road

Comdesron One Building 55 Second Floor

San Diego, CA

1871560284

MR. IDC Allen James Laheist

Individual

140 Sylvester Rd

San Diego, CA

1427025758

MS. Brenda Gail Solomon

Individual

94-215 Lumiaina Pl

Waipahu, HI

1588631014

SFIDC Roy L Underwood

Individual

1 Wahoo Ave

Groton, CT

1730156134

MR. I.D.C. Nelsoncris Caparas Delacruz

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1962479253

MR. HMC Michael L. Bowe-rahming

Individual

Psc 476 Box 779

Fpo, AP

1164499513

MR. SFIDC Timothy Macon

Individual

123 Sully St

Goose Creek, SC

1447227806

Roger Lee Bennett

Individual

83 Meadow Rd

Frostburg, MD

1861469231

MR. IDC Manuel Concepcion Arcangel

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1396712667

MR. IDC Richard Raul Torres

Individual

480 Central Ave

Pearl Harbor, HI

1346217544

IDC Steven Alan Denomme

Individual

43 Smith Rd

Newport, RI

1417924887

MR. IDC Joseph Michael Kozakiewicz

Individual

480 Central Ave

Naval Health Clinic Hawaii

Pearl Harbor, HI

1942277132

MR. Ryan Dean Lisec

Individual

43 Smith Rd

Newport, RI

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