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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1942583604

MR. IDMT William Colin Mcbride

Individual

101 Bodin Cir

Travis Afb, CA

1598021990

IDMT Annkathlyln Reyes Hidalgo

Individual

117 Bradley Blvd

Travis Afb, CA

1952651168

IDMT Carl Anthony Yambao

Individual

101 Bodin Cir

Dgmc Er

Travis Afb, CA

1487998811

IDMT Benjamin D. Dellacca

Individual

101 Bodin Cir

60 Mdos/sgoe

Travis Afb, CA

1629415260

Linda Guadalupe Moreno

Individual

101 Bodin Cir

Travis Afb, CA

1720415664

IDMT Christopher Lawrence Dixon

Individual

101 Bodin Cir

Travis Afb, CA

1720401789

IDMT Glenn Wilson

Individual

101 Bodin Cir

Travis Afb, CA

1598182214

IDMT Matthew Wheaton Burns

Individual

105 Colorado St

Travis Afb, CA

1033527262

IDMT Timothy Eno

Individual

101 Bodin Cir

Travis Afb, CA

1013302546

IDMT Casey Pritchett

Individual

101 Bodin Cir

Travis Afb, CA

1861889297

IDMT Andrew Thompson

Individual

101 Bodin Cir

Travis Afb, CA

1093160665

EMT Jeffrey Beaston

Individual

101 Bodin Cir

60 Amds/sgph

Travis Afb, CA

1275055964

IDMT Timothy Rohlfing

Individual

101 Bodin Cir

Travis Afb, CA

1710409404

IDMT Enrique Trujeque

Individual

101 Bodin Cir

Travis Afb, CA

1912131426

IDMT Jesse Vargas

Individual

101 Bodin Cir

Travis Afb, CA

1760740484

IDMT Rebecca Lee Flores

Individual

60mdg/60 Mdos

101 Bodin Circle

Travis Afb, CA

1689136871

IDMT Amber Lauren Young

Individual

101 Bodin Cir

Travis Afb, CA

1245792332

MR. IDMT Larin Timothy Clark

Individual

101 Bodin Cir

Travis Afb, CA

1386287225

Teresa Monteon

Individual

101 Bodin Cir

Travis Afb, CA

1508406596

Ivette Mariana Brueggemann

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