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

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Independent Duty Corpsman Providers

NPI Name Type Address

1275500365

MR. OTHER Fernando Juarez

Individual

4643 Dock Rd

Bldg 524

Port Hueneme, CA

1255308359

SFIDC William Barry Wood

Individual

686 Cushing Rd

Newport, RI

1023085008

IDC Edwin Ray Lashley

Individual

Naval Hospital

3600 Rivers Ave

N. Charleston, SC

1942277074

MR. IDC John S. Gutia

Individual

Psc 821

Box 22

Ruislip, MIDDLESEX

1568439594

John Reed

Individual

141 Trout Ave

Navsubase Nlon

Groton, CT

1811964844

SFIDC Armando Gonzalez

Individual

Macg-38 Medical

San Diego, CA

1376510370

Charles Edward Trantham

Individual

Naval Hospital

Camp Lejeune, NC

1639146632

MR. Edward Robin Spearman

Individual

1721 Taussig Blvd

Norfolk, VA

1316915309

MR. IDC Shane A. Walter

Individual

Bhc Bangor, 2050 Barb St

Suite A, Naval Submarine Base Bangor

Silverdale, WA

1215904206

MR. IDC Reynaldo Afable Galang

Individual

1885 Terrier Ave

Branch Health Clinic Dam Neck Ste 100

Virginia Beach, VA

1619944642

MR. IDC Damian J Lovello

Individual

1632 Ticonderoga St

Uss Heron Mhc 52

Ingleside, TX

1669440616

Kenneth Richard Murphy JR.

Individual

Psc 474 Box 5902

Fleet Post Office, CA

1316915333

IDC Charles Barry Collier

Individual

Branch Medical Clinic, Nsa Mid South

5722 Integrity Dr Bldg

Millington, TN

1124096144

Jay B Ferguson

Individual

43 Smith Rd

Newport, RI

1447227400

IDC Stephen Keith Hubbard

Individual

1 Boone Rd

Naval Hospital Bremerton

Bremerton, WA

1427025485

MR. I.D.C. Ricardo Garza

Individual

1035 Nider Blvd

Suite 100

Norfolk, VA

1205804242

MR. IDC Rodger M Howard

Individual

3420 Illinois Street Bldg 1007

Great Lakes, IL

1306814363

MR. Gregory John Peck

Individual

13511 S Springfield Rd

Brandywine, MD

1801864871

MR. IDC Matthew Donald Cochrane

Individual

19871 Bauer Rd

Branch Medical Clinic Mcas Miramar

San Diego, CA

1639147689

MR. IDC George Leo Krow JR.

Individual

Naval Hospital Camp Lejeune

100 Brewster Blvd

Camp Lejeune, NC

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