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

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Independent Duty Corpsman Providers

NPI Name Type Address

1659562379

MR. SFIDC Bradford Douglas Lomba

Individual

Medical Department

Uss Ingraham Ffg-61

Fpo, AP

1265611032

IDC Alan R Krilevich

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

1073701983

IDC Eric Enoc Casasflores

Individual

Okinawa

Fpo, AP

1205015336

MISS Heather Marion Sheedy

Individual

Psc 466 Box 3

Fpo, AP

1568658482

Dexter Dancel Cabral

Individual

Psc 490 Box 7607

Fpo, AP

1578752697

Sherri Lee Bustamante

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

1437345279

MR. I.D.C Jeffrey Chad Cook

Individual

Mcm Crew Impervious

Medical Department

Fpo, AE

1023202546

IDC Brian Morse Jacobson

Individual

Mcm Crew Reaper

Fpo, AE

1053509190

MS. Amanda Lynn Mcdevitt

Individual

Uss Theodore Roosevelt

Cvn 71

Fpo, AE

1316136435

MR. IDC Todd Everett Wende

Individual

Ccsg 5 Unit 25660

Fpo, AP

1043407224

MR. IDC Donald Asuncion Pangalangan

Individual

Psc 473 Box 16

Fpo, AP

1194919449

IDC Rodrick Alan Cannon

Individual

Mcm Crew Dominant

Fpo, AA

1508045931

CNMT Angela Katrice Williams-marie

Individual

Uss Harry S Truman Cvn 75

Box 80

Fpo, AE

1265626543

MR. IND DUTY CORPSMAN Junior M Perez

Individual

Uss Arleigh Burke Ddg 51

Medical Department

Fpo, AE

1215122817

United States Navy

Organization

Commanding Officer

2nd Battalion 2nd Marines

Fpo, AA

1285821785

MR. IDC Vincent De La Ossa

Individual

Hm1 De La Ossa, Vincent (medical Dept)

Uss Boone (ffg28)

Fpo, AA

1124203187

MR. IDC James Sheldon Burnett

Individual

Nmcb 74

Unit 60243

Gulfport, MS

1356529945

MR. Jeromy Miles Ortega

Individual

Psc 466 Box 3

Bhc Diego Garcia

Fpo, AP

1073797452

SFIDC Dusty Alan Webb

Individual

Uss Harry S Truman

Box 80

Fpo, AE

1710151170

IDC Scott G Pittman

Individual

Uss Antietam

Cg 54

Fpo, AP

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