Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 5

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1801030903

IDMT Keith Rockins

Individual

383 Maynard St

307a Flight Medicine

Pope Afb, NC

1972747863

IDMT/NREMT-P Barry Alan Frasier

Individual

3-1947 Malvesti Road

Pope Afb, NC

1710121595

IDMT Sheila Ann Shimek Christman

Individual

383 Maynard St

Bldg 307a Flight Medicine

Pope Afb, NC

1871737593

IDMT Gwen Marie Compton Wear

Individual

3-1947 Malvesti Road

Pope Afb, NC

1568697068

IDMT Jessica Serpa

Individual

383 Maynard St

Pope Afb, NC

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