Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 12

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1932342094

MR. IDMT Daniel Luther Green III

Individual

1 Norad Rd

Colorado Springs, CO

1386879633

IDMT Edward L Nelson JR.

Individual

559 Vincent St

Colorado Springs, CO

1740417641

MR. David Andrew Holman

Individual

559 Vincent St

Colorado Springs, CO

1700013380

IDMT Curtis E Clawson

Individual

1 Norad Rd

Suite 1205

Colorado Springs, CO

1831333996

IDMT Mandy Grimm

Individual

559 Vincent St

Colorado Springs, CO

1588996243

IDMT Luke William Willis

Individual

1965 Shawnee Dr

Colorado Springs, CO

1851675011

MRS. IDMT Susanne Clariece Fry

Individual

2540 Brady Dr

Colorado Springs, CO

1912243239

IDMT Lerinda Kay Carle

Individual

6676 Myrtle Creek Dr

Colorado Springs, CO

1386887792

IDMT Jovonne D Parnell

Individual

559 Vincent St

Colorado Springs, CO

1255754214

IDMT Lynor Dicang Hardy

Individual

Cheyenne Mountain Air Station

Colorado Springs, CO

1316587116

Cori Lea Andrews

Individual

559 Vincent St Bldg 959

Colorado Springs, CO

1750979852

IDMT Trystan James Self

Individual

559 Vincent St

Colorado Springs, CO

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