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

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Independent Duty Corpsman Providers

NPI Name Type Address

1821067687

MR. IDC Nathaniel Mark Jones SR.

Individual

One Dispensary Rd

Bldg 5

Pt Mugu Nawc, CA

1912966474

MR. IDC David Keiki Mai Lani Louis Haley SR.

Individual

800 Seal Beach Blvd

Bldg 77

Seal Beach, CA

1679542005

Mark Bjornson

Individual

Regional Support Organization

3325 Senn Rd, Suite 7

San Diego, CA

1669431771

MR. Thomas Ivan Klein

Individual

3007 Ramblewoods Ct

Virginia Beach, VA

1366411779

MR. IDC Steven K Andrews

Individual

1417 Weyburn Ct

Virginia Beach, VA

1457320731

IDC Jeffery Alan Miller

Individual

5428 Macqueen Dr

Virginia Beach, VA

1891754859

MR. John William Weber

Individual

Psc 836 Box 2670

Fpo, AE

1922068147

Christopher Peterson

Individual

3600 Rivers Ave

N Charleston, SC

1790745552

MR. IDC Rowel Limbo Cannu

Individual

34800 Bob Wilson Dr

San Diego, CA

1972565463

IDC Michael Todd Shull

Individual

881 Uss James Madison Rd

Kings Bay, GA

1912968488

Aaron Donald Johnson

Individual

519 Catapult Ct

Suffolk, VA

1609837111

IDC Adam Nathaniel Goulas

Individual

9168 2nd St

Suite 202

Norfolk, VA

1487614897

IDC Scott Anthony Bissen

Individual

9168 2nd St

Suite 202

Norfolk, VA

1508827197

MR. IDC Frederic Caldwell Patterson SR.

Individual

881 Uss James Madison Rd

Kings Bay, GA

1144281270

MR. SUB-IDC Ramoncito Valencia Pedro

Individual

900 Alden Ct

Virginia Beach, VA

1679534937

IDC Rory Dean Miller

Individual

5501 High St W

Portsmouth, VA

1780645895

MR. IDC Andrew Douglas Barker

Individual

9168 2nd St

Ste 202

Norfolk, VA

1821059098

IDC Philip F Confer

Individual

2450 Craven St

San Diego, CA

1528029881

IDC Andres Costas Aranda

Individual

6400 Guadalcanal St

San Diego, CA

1316908338

Shawn Eric Mcdonald

Individual

35000 Guadacanal St

San Diego, CA

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