| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. Stephen Michael Ito |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MR. Morrell J Lavender |
Individual |
2650 Stockton Rd Bldg 624 Naval Training Center San Diego, CA |
|
|
MR. I.D.C. Jeremy Lee Simon |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
SFIDC Jason Schwieterman |
Individual |
2200 Scorpion Ave Silverdale, WA |
|
|
IDC Scott David Egdorf |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
John Ray Lafferty |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MRS. Nikki G Sims |
Individual |
1219 Las Cruces Dr Winter Springs, FL |
|
|
MRS. Rachael Naomi Bradley |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
IDC Daniel Curtis Roberts |
Individual |
159 Trout Ave Groton, CT |
|
|
SUB IDC Dmaurier Barnhart |
Individual |
881 Uss James Madison Rd Kings Bay, GA |
|
|
HS, USCG Mark A. Strange |
Individual |
1222 Spruce St Room 2-102a Saint Louis, MO |
|
|
Rodney A. Layton |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MR. IDC Dean Natale Del Favero |
Individual |
2008 Stump Neck Rd Indian Head, MD |
|
|
MR. Mark Mammoth |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
|
|
MR. Karl Frederick Schriever |
Individual |
1 Wahoo Drive Naval Branch Health Clinic Groton, CT |
|
|
Chad Jeremy Nelson |
Individual |
100 Brewster Blvd Camp Lejeune, NC |
|
|
MR. William Eickhoff |
Individual |
650 Sewall Street Naval Branch Health Clinic Brunswick, ME |
|
|
Travis Daniel Miller |
Individual |
1078 Hospital Rd Fort Story, VA |
|
|
MR. IDC Mark Allen Taylor |
Individual |
5905 34th Ave S Minneapolis, MN |
|
|
Michael Clark |
Individual |
140 Sylvester Rd 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 |