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

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Independent Duty Corpsman Providers

NPI Name Type Address

1770757254

IDC Christian P Patchin

Individual

34800 Bob Wilson Dr

San Diego, CA

1114191343

MR. SFIDC Alan P Kropf

Individual

2189 Elrod Ave

Quantico, VA

1205891256

IDC Jose Alfredo Nicola

Individual

Naval Health Clininc Great Lakes

Branch Medical Clinic 1007 Uss Tranquility

Great Lakes, IL

1114112869

MR. IDC Steven Michael Donohoe

Individual

Halyburton Naval Health Clinic

Psc Box 8023

Cherry Point, NC

1144494287

Michael Gray

Individual

Psc 564 373

Fpo, AP

1548237928

MR. IDC Andrew Thomas Chubb

Individual

Mcm Crew Implicit

Medical Department

Fpo, AE

1699744102

SF-IDC/CIHM Jason Bradley Johnson

Individual

Psc 844 Box 63

Fpo, AE

1679534747

IDC David Lowe

Individual

Usnh

Box 55

Fpo, AE

1558323725

MR. IDC Heath Wade Wallace

Individual

Uss Theodore Roosevelt Cvn 71

Medical Department

Fpo, AE

1609830298

MR. IDC Gaspare Joseph Corrao

Individual

Commanding Officer

Attn: Senior Medical Department Representative

Fpo, AP

1063460210

MR. IDC Neilrose Laciste Gervacio

Individual

Camp Schwab Bmc

3d Med Bn, 3d Mlg, C Co

Fpo, AP

1609814995

MR. IDC Weston Rayth Wright

Individual

Uss George Washington Cvn-73

Box 67

Fpo, AE

1407928377

SFIDC Kevin Scott Varner

Individual

Uss John S. Mccain Ddg-56

Fpo Ap, CA

1316010788

NAVY IDC William Ryan JR.

Individual

Uss Fitzgerald

Fpo, AP

1275668899

MR. BS, IDC Mark C Dunham

Individual

Comdesron Fifteen

Psc 473 Box 108

Fpo, AP

1073647483

IDC David Joseph Viola

Individual

Naval Hospital Okinawa Japan

Psc 482 Box 1600

Fpo, AP

1699808683

MR. IDC Andrew Edwin Jones

Individual

Psc 557, Box 224

Fpo, AP

1053524579

IDC Robert James Taweel

Individual

Nmcb 133

Unit 60254

Fpo, AA

1780897207

MR. IDC Jack Warren Campbell

Individual

Nmcb 133

Fpo, AA

1215142195

MRS. IDC Sonya Annette Hendrix

Individual

Uss George Washington Cvn-73

Medical Department

Fpo, AE

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