Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 10

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1245474667

IDMT Daniel Lewis Tyson

Individual

208 W Casablanca Ave

Clovis, NM

1477879708

MR. IDMT Christopher Gordon Brown

Individual

717 Sandia Dr

Clovis, NM

1740583350

IDMT Norma P Grandberry

Individual

1501 Westchester St

Clovis, NM

1396989968

MR. IDMT Luis Alberto Hallman

Individual

3516 Adenmor Ct

Unit B

Clovis, NM

1609186139

IDMT Jeramy Byrd

Individual

9410 A Vermont Court

Clovis, NM

1801132220

IDMT Dena Levari

Individual

208 W Casablanca Ave

Clovis, NM

1831438357

IDMT John Frederick Rinaldi

Individual

3500 Adenmore Ct

Apt C

Clovis, NM

1265983068

IDMT Yurikoaokio Motomochi Livas

Individual

209 Wilmington Cir

Clovis, NM

1144797556

William Murphy Whittle

Individual

2000 Hallum St

Clovis, NM

1689271736

Sinead Catherine Brosnan

Individual

208 D L Ingram Ave W

Clovis, 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