Taxonomy Code 1710I1002X(1710i1002x)
Independent Duty Corpsman. Providers: 3,002
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Independent Duty Corpsman Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Keith Staples |
Individual |
1310 8th St Suite 100 Norfolk, VA |
|
|
MR. IDC Adrian Leslie Robinson JR. |
Individual |
3500 Berkeley Court B Twentynine Palms, CA |
|
|
MS. IDC Claudia Yvette Islas |
Individual |
34800 Bob Wilson Dr San Diego, CA |
|
|
IDC Roselyn Drapiza Ilanga |
Individual |
Marine Corps Air Ground Combat Center Twentynine Palms, CA |
|
|
MR. IDC Phillip Dwayne Norman |
Individual |
1061 Uss Tennessee Ave Cpu Kings Bay, GA |
|
|
MRS. IDC Tammy Archibald |
Individual |
1035 Nider Blvd Ste 100 Norfolk, VA |
|
|
IDC Michael Duane Smaltz |
Individual |
55a Savo Dr Wahiawa, HI |
|
|
MR. Jay D Carson |
Individual |
1050 Uss Gerogia Ave Kings Bay, GA |
|
|
Joshua Guy Reid |
Individual |
1035 Nider Blvd Ste 100 Norfolk, VA |
|
|
MR. NAVY IDC Michael Nord |
Individual |
7481 Bridlevale Blvd Nw Bremerton, WA |
|
|
MR. IDC Michael A Walls |
Individual |
3399 Strauss Ave Suite 219 Indian Head, MD |
|
|
MR. IDC Philip A. Rice |
Individual |
Building 2000 Mcagcc Clb-7 Bas Twentynine Palms, CA |
|
|
Shane Gilley |
Individual |
Msoag Bldg 202 Camp Lejeune, NC |
|
|
MR. IDC Karlton James Bethea |
Individual |
249 E Upjohn Ave Ridgecrest, CA |
|
|
IDC Michael Shannon Clifton |
Individual |
Nmcb 5 Unit 25294 Fpo Ap, CA |
|
|
MR. IDC Christopher Douglas Kotz |
Individual |
3325 Senn Rd Building 55, Room 225 San Diego, CA |
|
|
IDC Jeramy Paul Henson |
Individual |
3325 Senn Rd Ste 7 San Diego, CA |
|
|
IDC Perfecto B Cronemeyer |
Individual |
4859 W 29th Ln Yuma, AZ |
|
|
IDC Conrado Obias Manganti JR. |
Individual |
2073b Campion Dr Kailua, HI |
|
|
Larry Ryan Laws |
Individual |
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...
| 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 |