| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. IDC Nathaniel Mark Jones SR. |
Individual |
One Dispensary Rd Bldg 5 Pt Mugu Nawc, CA |
|
|
MR. IDC David Keiki Mai Lani Louis Haley SR. |
Individual |
800 Seal Beach Blvd Bldg 77 Seal Beach, CA |
|
|
Mark Bjornson |
Individual |
Regional Support Organization 3325 Senn Rd, Suite 7 San Diego, CA |
|
|
MR. Thomas Ivan Klein |
Individual |
3007 Ramblewoods Ct Virginia Beach, VA |
|
|
MR. IDC Steven K Andrews |
Individual |
1417 Weyburn Ct Virginia Beach, VA |
|
|
IDC Jeffery Alan Miller |
Individual |
5428 Macqueen Dr Virginia Beach, VA |
|
|
MR. John William Weber |
Individual |
Psc 836 Box 2670 Fpo, AE |
|
|
Christopher Peterson |
Individual |
3600 Rivers Ave N Charleston, SC |
|
|
MR. IDC Rowel Limbo Cannu |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Michael Todd Shull |
Individual |
881 Uss James Madison Rd Kings Bay, GA |
|
|
Aaron Donald Johnson |
Individual |
519 Catapult Ct Suffolk, VA |
|
|
IDC Adam Nathaniel Goulas |
Individual |
9168 2nd St Suite 202 Norfolk, VA |
|
|
IDC Scott Anthony Bissen |
Individual |
9168 2nd St Suite 202 Norfolk, VA |
|
|
MR. IDC Frederic Caldwell Patterson SR. |
Individual |
881 Uss James Madison Rd Kings Bay, GA |
|
|
MR. SUB-IDC Ramoncito Valencia Pedro |
Individual |
900 Alden Ct Virginia Beach, VA |
|
|
IDC Rory Dean Miller |
Individual |
5501 High St W Portsmouth, VA |
|
|
MR. IDC Andrew Douglas Barker |
Individual |
9168 2nd St Ste 202 Norfolk, VA |
|
|
IDC Philip F Confer |
Individual |
2450 Craven St San Diego, CA |
|
|
IDC Andres Costas Aranda |
Individual |
6400 Guadalcanal St San Diego, CA |
|
|
Shawn Eric Mcdonald |
Individual |
35000 Guadacanal St 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 |