Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 10

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1225272073

IDMT Landru Derek Medvec

Individual

2422 Arctic Ave

Apt D

Eielson Afb, AK

1821225913

MR. IDMT Alton E Doe JR.

Individual

2630 Central Ave

Ste 1

Eielson Afb, AK

1851534184

EMT-B, PHTLS, ACLS, Angelia Deanne Calder

Individual

2630 Central Ave

Eielson Afb, AK

1982830287

MRS. IDMT Julianne Marie Lujan

Individual

2630 Central Ave

354 Mdos Flight Medicine Clinic

Eielson Afb, AK

1730541038

MR. IDMT Matthew Robert Kramer

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1104393446

IDMT Matthew Gray

Individual

2630 Central Ave

Eielson Afb, AK

1518586122

MRS. Amanda Nichols

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1578189387

IDMT Eric Dylan Mason

Individual

2630 Central Ave

Eielson Afb, AK

1982284964

Toula Farnsworth

Individual

2630 Central Ave

Eielson Afb, AK

1316535487

MR. IDMT Samuel Wade Cuidon

Individual

2630 Central Ave # 3349

Eielson Afb, AK

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