Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 11

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1124262365

MR. IDMT David E Kohler-edwards

Individual

1670 E. Perimeter Way

162nd Medical Group/arizona Air National Guard

Tucson, AZ

1063647196

IDMT Virginia E. Bailey

Individual

4837 S Phoenix St.

Rm 119 Davis-monthan Air Force Base

Tucson, AZ

1942437447

MR. IDMT Emerson M Earle

Individual

4625 S. Phoenix St

Bld 4843

Tucson, AZ

1801024260

IDMT Hilda Imelda Rios

Individual

4175 S Alamo Ave

Tucson, AZ

1851529192

IDMT Christopher Thomas Yarbrough

Individual

4625 South Phoenix Street Bldg 4843

Tucson, AZ

1366670614

Lucille Mary Brown

Individual

4175 S Alamo Ave

Davis Monthan Afb

Tucson, AZ

1881822948

IDMT Michael C Arena

Individual

4625 South Phoenix Street

Bldg 4843

Tucson, AZ

1285966945

MR. IDMT Daniel Adam Johnson

Individual

8697 S Desert Rainbow Dr

Tucson, AZ

1932479870

IDMT Deon Denise Madsen

Individual

4880 N Sabino Canyon Rd

#17176

Tucson, AZ

1811477235

IDMT Alan Thatcher Price

Individual

4175 S Alamo Ave

Tucson, AZ

1508485087

Nathania A Valdez

Individual

4175 South Alamo Ave

Tucson, AZ

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