Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 15

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1366686842

MR. IDMT Steven Brandon Yates

Individual

208 W Casablanca Ave

Cannon Afb, NM

1639313125

MR. Andrew Springstead

Individual

208 W Casablanca Ave

27somdg

Cannon Afb, NM

1598909012

IDMT Martin Oleen Jensen

Individual

119 E Arcadia Ave Bldg 622

27 Special Operations Support Sqdn/osm

Cannon Afb, NM

1497999684

MR. IDMT-P Francisco S Deguzman

Individual

208 W Casablanca Ave Bldg 1400

27 Somdg - Osm

Cannon Afb, NM

1497067839

MR. IDMT Ray Leroy Schatz III

Individual

511 N Torch Blvd

Cannon Afb, NM

1053554204

IDMT Jillian Marie Beausoleil

Individual

511 N Torch Blvd Rm 102b

Cannon Afb, NM

1295093912

IDMT Desiree Anderson

Individual

208 W Casablanca Ave

Cannon Afb, NM

1083844054

IDMT Lindsay Vincent

Individual

208 W Casablanca Ave

27 Somdg

Cannon Afb, NM

1134748692

Patrick James Scollon

Individual

104 W D. L. Ingram Ave, Cannon Afb, Nm 88101

Cannon Afb, NM

1225615644

Bradley Edward Hudson

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1538699418

IDMT Erik M Waldrip

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1083369938

Keaton James Rider

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

1245865120

Zachary E Lavoy

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1578103461

Benjamin Andrew Gallentine

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1033452206

MR. IDMT Jason Anthony Evans

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

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