Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 9

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1760626584

IDMT Casey Lee Burns

Individual

84 Bomber Rd

726th Air Control Squadron

Mountain Home A F B, ID

1518101245

IDMT Dane A. Looman

Individual

84 Bomber Rd

726 Acs/sg

Mountain Home A F B, ID

1306070446

MRS. IDMT Brandi Adele Mackey

Individual

84 Bomber Rd

Mountain Home A F B, ID

1881824159

MR. IDMT Omar D Hernandez Solano

Individual

90 Hope Dr Bldg 6000

366 Amds/sgpf

Mountain Home A F B, ID

1942430178

IDMT Joe Cabalhin Dittman

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1407086473

MR. IDMT Jeffrie Neil Mayberry

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1194959908

MR. IDMT Joseph Paul Keddie

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1942533419

Kristen Anne Lewis

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1669765871

MRS. IDMT April Denise Paciotti

Individual

90 Hope Dr

Bld 6000

Mountain Home A F B, ID

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