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

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Independent Duty Corpsman Providers

NPI Name Type Address

1477727501

IDC Victoria Sherman

Individual

Psc 475 Box 1

Fpo, AP

1194999185

DR. IDC Ernst Schettini

Individual

1 Pinckney Blvd

Beaufort, SC

1043247091

MR. IDC Jason Thomas William Tetzlaff

Individual

3402 Tarawa Rd

Sbt-12

San Diego, CA

1992970735

Marrisa Antonia Mueller

Individual

13 Area Branch Clinic Bldg 13129

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1427223916

SFIDC Mark Dwayne Dykes

Individual

700 Colorado Dr

Hemet, CA

1245405687

MR. IDC Michael Anthony Espinoza

Individual

Psc 466

Box 3

Fpo, AP

1831223890

MR. IDC Barry Washington

Individual

Uss De Wert Ffg 45

Fpo, AA

1124293477

IDC Erin Elizabeth Sutherland

Individual

35000 Guadalcanal

San Diego, CA

1376718338

MS. OTR Anne Marie Nahn

Individual

2500 Overlook Ter

Hbpc Program

Madison, WI

1366618183

MR. IDC US NAVY Roberto Judas Canton

Individual

35000 Guadacanal St

Bmc Mcrd Bldg 596

San Diego, CA

1679749220

IDC Christopher J Marquez

Individual

1840 Gator Blvd

Seal Team Two Bldg 3841

Norfolk, VA

1144496670

MR. IDC Tijani Bamidele Abdulsalam

Individual

2450 Craven St

San Diego, CA

1043486418

MR. IDC Joshua David French

Individual

2450 Craven St

San Diego, CA

1083880413

IDC Michael Don Weaver

Individual

Pc Crew Foxtrot 40266

Fpo, AE

1891975983

MR. Eric Shannon Gallagher

Individual

900 Kensington Dr

Apt 923

Jacksonville, NC

1447426663

MR. IDC James E Cook

Individual

35000 Guadalcanal St

Branch Medical Clinic Mcrd

San Diego, CA

1386810422

IDC Bufford Christopher Dotson JR.

Individual

Naval Hospital 2080 Child St

Jacksonville, FL

1467629592

MR. IDC John William Richman

Individual

Bldg H100 Santa Margarita Rd

Naval Hospital Camp Pendleton

Camp Pendleton, CA

1609043777

MR. IDC Jason Paul Fechner

Individual

1451 Lexington Drive

Comcmron2

Ingleside, TX

1003083908

MR. Jason Huson Giecko

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...

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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