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

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Independent Duty Corpsman Providers

NPI Name Type Address

1245208107

Emilia Guerrero

Individual

480 Central Ave

Pearl Harbor, HI

1679541676

MR. I.D.C. Clifford Loren Moudy II

Individual

3001a Sixth St

Naval Hospital Great Lakes

Great Lakes, IL

1740258755

MR. USN - IDC Anthony James Schlim

Individual

8901 Wisconsin Ave

Bethesda, MD

1780653451

Jeff Cavallo

Individual

34101 Farenholt Ave

Naval School Of Health Science (sfidc)

San Diego, CA

1467421057

MS. Kathleen Julienne Michalski

Individual

1892 Possum Trot Rd

New Bern, NC

1427027093

Stephen Royall

Individual

Psc 564 Box 299

Fpo, AP

1871561274

Robert Lee Roseberry

Individual

1 Pinckney Blvd

Beaufort, SC

1861460123

IDC Mike Cockrill

Individual

Underwater Construction Team 2

4643 Dock Road, Bldg 524

Port Hueneme, CA

1942278460

MR. IDC Adrian L Dunkerley

Individual

3259 Catlin Ave

Quantico, VA

1891763371

NAVY IDC Jared James Goodrow

Individual

34101 Farenholt Ave

Naval School Of Health Sciences

San Diego, CA

1427026947

MR. IDC Troy Glenn Grizzle

Individual

7791 Mercury Rd

Tinker Afb, OK

1760450167

IDC Brien Robert Gibney

Individual

Psc 814

Box 19

Fpo-ae, NY

1578531992

IDC L.v. Hall JR.

Individual

Uss Samuel B. Roberts (ffg 58)

Fpo Aa

Mayport, FL

1215905369

IDC Joven Marquez Zano

Individual

Psc 561 Box 1001

Fpo Ap 96310

Iwakuni, YAMAGUCHI

1578531687

MS. INDEPENDENT DUTY COR Amber Nicole Floyd

Individual

Branch Medical Clinic Miramar

2496 Mitchner Wy

San Diego, CA

1124097274

Carlos Hiram Rosario

Individual

2650 Stockton Rd

San Diego, CA

1861461667

MISS IDC Cheryl R Murphy

Individual

669 Blvd De France

Branch Health Clinic

Parris Island, SC

1780653584

Gregory Allen Davis

Individual

Us Naval Hospital

Psc 475 Ap, CA

1700855426

MR. IDC Charles Wynter Mccready III

Individual

U.s. Naval Hospital Guam

Bldg 1 Farenholt Ave

Agana Heights, GU

1033188925

MR. IDC William S Legge

Individual

1061 Uss Tennessee Ave

Kings Bay, GA

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