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

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Independent Duty Corpsman Providers

NPI Name Type Address

1720247158

MR. IDC James Matthew Weser

Individual

National Naval Medical Ctr

8901 Wisconsin Ave

Bethesda, MD

1457510851

NAVY IDC Tori Ann Bickerton

Individual

Branch Health Clinic Naval Air Facility

Bldg 523

El Centro, CA

1194984450

IDC Eric James Pearson

Individual

100 Brewster Blvd

Camp Lejeune, NC

1467611723

IDC John Lotz Mcmurry

Individual

100 Brewster Blvd

Camp Lejeune, NC

1649439894

IDC Manolito Arciaga

Individual

Box 555191

Camp Pendleton Naval Hospital

Camp Pendleton, CA

1245499441

IDC Paul Dean Klahr

Individual

2100 Thresher Ave

Silverdale, WA

1841459971

MR. IDC Michael Christopher Cleaves

Individual

1465 Hewitt Dr

Uct-one

Norfolk, VA

1013176189

PROF. Carolina Bornstein

Individual

Building As 100 White St

Mcas Nr

Jacksonville, NC

1851550875

IDC Sara Lynne Mathson

Individual

Psc 475

Box 1444

Fpo, AP

1649439605

IDC Louis Eugene Raiford

Individual

217 Heritage Oak Dr

Chesapeake, VA

1083873905

MR. IDC John Allan Clayton Fulling

Individual

2410 Sampson St

Fisher Bmc #237

Great Lakes, IL

1942245014

IDC US NAVY Charles Scott Vancuren

Individual

73 Eastern Point Road

Uss Missouri Ssn 780

Groton, CT

1245499094

IDC Ryan Clinton Gilbert

Individual

1465 Hewitt Dr

Norfolk, VA

1467420422

MR. NAVY IDC David Robert Johnsen

Individual

3001a Sixth Street

Naval Hospital Fisher Clinic

Great Lakes, IL

1356500938

MR. IDC Randy Roland Boucher

Individual

620 John Paul Jones Cir

Portsmouth, VA

1164681623

MR. SFIDC Richard A Sweet JR.

Individual

Uss Thach Ffg 43

Fpo, AP

1386803872

MS. IDC Jennifer Louise Knuth

Individual

Psc Box 21034

Jacksonville, NC

1184883688

MR. IDC Michael Paul Coffman

Individual

601 D Street

Great Lakes, IL

1538102314

Eric James Duchesneau

Individual

620 John Paul Jones Cir

Portsmouth, VA

1477713840

MR. Robert William Magness

Individual

100 Brewster Blvd

Camp Lejeune

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