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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1649810458

IDMT Andrew Lawrence Pierson

Individual

101 Bodin Cir

Travis Afb, CA

1467686543

MRS. IDMT Mary Issitt

Individual

David Grant Medical Center

101 Bodin Circle

Travis Afb, CA

1821606591

Madelyn Hale

Individual

101 Bodin Cir

Travis Afb, CA

1538769351

Chelsey Violet Pelkey

Individual

101 Bodin Cir

Travis Afb, CA

1356939425

Kristi Gouge

Individual

101 Bodin Cir

Travis Afb, CA

1578143558

Christopher Michael Babcock

Individual

101 Bodin Cir

Travis Afb, CA

1770232753

IDMT Brody Tanner Ehalt

Individual

101 Bodin Cir

Travis Afb, CA

1770233660

MR. IDMT Isaac Daniel James JR.

Individual

101 Bodin Cir

Travis Afb, CA

1477971646

IDMT Michael Ball

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