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

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Independent Duty Corpsman Providers

NPI Name Type Address

1083670194

David Mitchell Edwards

Individual

Uss Maryland Ssbn 738 Blue

Fpo, AA

1013184563

IDC Brett Dubois

Individual

Commanding Officer

Nhcp Box 555191

Camp Pendleton, CA

1104093327

IDC Nguyen Hoang To

Individual

Uss Curtis Wilbur Ddg 54

Medical

Fpo, AP

1306003512

IDC Lawrence Walter Libengood III

Individual

2d Laad Bn Det A

Unit 78087 H&s Battery

Fpo, AE

1538120068

U.s. Navy

Organization

34800 Bob Wilson Dr

San Diego, CA

1770780934

MRS. IDC Carmela England

Individual

100 Brewster Blvd

Camp Lejeune, NC

1518124098

INDEPENDENT DUTY COR Josephus Dwayne Carter

Individual

100 Brewster Blvd

Camp Lejeune, NC

1174781314

IDC Michael Martin

Individual

Naval Hospital

Commanding Officer

Camp Pendleton, CA

1588822605

SFIDC Benedicto Vicencio Manalansan

Individual

2240 Spring Oak Way

San Diego, CA

1972761021

NAVY IDC Christopher Crowe

Individual

Psc Box 8023

Apo, AA

1386802452

MR. IDC Sean Patrick Finch

Individual

620 John Paul Jones Cir

Portsmouth, VA

1770741779

Jesse C Cabuyadao

Individual

3001 6th St Ste A

Great Lakes, IL

1659546554

MR. SFIDC Michael Angel Santana

Individual

3259 Catlin Ave

Quantico, VA

1053579821

MR. IDC Jesus A Quinonez

Individual

34730 Bob Wilson Dr

San Diego, CA

1780842419

IDC Michael Roger Barnhart

Individual

Nolf Bldg 169

San Diego, CA

1801054465

MR. SFIDC Terry D Green

Individual

34800 Bob Wilson Dr

San Diego, CA

1356509970

IDC Richard Power

Individual

34800 Bob Wilson Dr

San Diego, CA

1386802874

IDC Veronyka T Young

Individual

35000 Guadalcanal Ave

San Diego, CA

1235208489

INDEPENDENT DUTY HM Eric Lawayne Mayes SR.

Individual

30394 Sierra Madre Dr

Temecula, CA

1033377411

MR. IDC Joseph Stanley Sprafka JR.

Individual

Bldg 39 Lansdowne Rd

Naval Branch Medical Clinic

Lakehurst, NJ

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