Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 49

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1518191758

IDMT Kory Rivera

Individual

101 Bodin Cir

Travis Afb, CA

1649404807

MR. IDMT Kevin Lionel St Patrick Moore

Individual

101 Bodin Cir

Sgpf

Travis Afb, CA

1811121072

MRS. IDMT Erika Christina Craig

Individual

101 Bodin Cir

Travis Afb, CA

1306070511

MRS. Abigail Rivera

Individual

101 Bodin Cir

Travis Afb, CA

1487888699

IDMT Nicholson Adolfo Borja

Individual

101 Bodin Cir

60th Amds/sgpf

Travis Afb, CA

1942434089

MS. IDMT Adrienne Rose Vera-mahaffey

Individual

101 Bodin Cir

Travis Afb, CA

1558595694

IDMT Eric Louis Abram

Individual

101 Bodin Cir

60 Amds/ Sgpf

Travis Afb, CA

1467686501

MRS. IDMT Vanity Shaneka Davis

Individual

101 Bodin Cir

Sgpf

Travis Afb, CA

1285868034

MRS. IDMT Veroncia Rivas Destura

Individual

101 Bodin Cir

60 Mdos

Travis Afb, CA

1255566915

MR. IDMT Keith John Barton

Individual

531 Waldron St Ste D

349th Aerospace Medicine Sqadron

Travis Afb, CA

1699902007

IDMT Jennifer S Hilker

Individual

101 Bodin Cir

60 Amds/sgpf

Travis Afb, CA

1003043761

I.D.M.T Edward Sean Rodriguez

Individual

101 Bodin Cir

Travis Afb, CA

1487883526

IDMT Tiffany Joyce Woods

Individual

101 Bodin Cir

Travis Afb, CA

1619200698

IDMT Neil Robert Murray

Individual

101 Bodin Cir

Travis Afb, CA

1366775355

MR. IDMT Douglas Dwight Caldwell II

Individual

150 Fitzgerald Dr

Travis Afb, CA

1942539630

IDMT Seralvin V Burgos

Individual

101 Bodin Cir

Travis Afb, CA

1467683623

IDMT Nichole Reid

Individual

101 Bodin Cir

Travis Afb, CA

1477861474

IDMT Bernard Pillagara Bueno

Individual

137 Maine Street

Travis Afb, CA

1457654055

MR. IDMT Benjamin Jacob Lifto

Individual

101 Bodin Cir

Travis Afb, CA

1043448897

IDMT Samir I. Shahin

Individual

101 Bodin Cir

Travis Afb, CA

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