Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 1,299

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1609857713

DR. M.D. Zenen C Limbo-perez

Individual

700 24th St

Kenner Army Health Clinic

Fort Lee, VA

1528044872

CWO Tina M Starling

Individual

U.s. Coast Guard

Support Center Medical

Elizabeth City, NC

1174509616

MR. Harold Edward Schofield JR.

Individual

2401 Hawkins Point Rd

Building 28b

Curtis Bay, MD

1841277605

MR. HS Patrick John Rockwell

Individual

Us Coast Guard Airstation Savannah

1297 North Lightning Road Hunter Army Airfield

Savannah, GA

1063490613

MRS. Yolander Douglas

Individual

Nhcp, Bldg H100, Santa Margarita Rd, Att: Code 094

Camp Pendleton, CA

1306825344

HS Shannon Elizabeth Gaffney

Individual

4000 Coast Guard Blvd

Portsmouth, VA

1588643167

OTR Randall Lee James

Individual

Psc 827, Box 20

Fpo, ITALY

1023085883

MR. MA Anthony Petrone JR.

Individual

140 Sylvester Rd

San Diego, CA

1851368229

MR. IDC Carlos M. Coleman

Individual

34101 Farenholt Ave

Nshs-sd Idc Dept

San Diego, CA

1730157736

MR. IDC Alfredo Alcalaesparza

Individual

2211 Pacific Beach Dr

San Diego, CA

1053370254

DPT Erica Clarkson

Individual

Madigan Physical Therapy

Tacoma, WA

1932169380

Shirley Hovlid

Individual

2650 Stockton Rd

San Diego, CA

1326009952

MR. IDC Reginald C Dean

Individual

7119 Langley St

Naval Branch Health Clinic Whiting Field

Milton, FL

1649223942

IDC Aaron C Zale

Individual

101 W Marquita

San Clemente, CA

1376588491

IDC Rodney Owen

Individual

1 Pinckney Blvd

Beaufort, SC

1487678926

IDC Robin Michelle Ward

Individual

480 Central Ave

Pearl Harbor, HI

1164522280

IDHS Mark Magrino

Individual

Cg-1122 Uscg Hq Comdt

2100 2nd St Sw

Washington, DC

1811098361

Alvin Watson

Individual

630 Columbia St

Hattiesburg, MS

1730273038

MISS HS3 Heather Marita Niccoli

Individual

2420 S Lincoln Memorial Dr

Uscg Sector Lake Michigan-medical

Milwaukee, WI

1083783336

SFIDC Ronald Merel Husman

Individual

Uss Ford Ffg 54

Attn Medical Department

Fpo Ap, WA

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 1710I1003X
Specialization Independent Duty Medical Technicians
Display Name Independent Duty Medical Technicians
Taxonomy Group Other Service Providers
Taxonomy Classification Military Health Care Provider
Definition An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Effective Date September 30, 2009
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Military Health Care Provider Codes

Independent Duty Corpsman

1710I1002X • providers: 3,002

Military Health Care Provider

171000000X • providers: 1,689