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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1346483500

IDMT Brandy R Williams

Individual

9303 Gilcrease Ave

Unit 1207

Las Vegas, NV

1912141011

MR. IDMT George Steven Cum

Individual

811 Grier Dr

Las Vegas, NV

1689818064

IDMT Gary Martin

Individual

811 Grier Dr

Las Vegas, NV

1225263072

IDMT Adrienne L Clark

Individual

5154 Ellsworth Ave

Suite 61690

Las Vegas, NV

1518197078

MISS IDMT Tanya Lane Hatfield

Individual

811 Grier Dr

Suite B

Las Vegas, NV

1881823177

MR. IDMT Jeffrey Lewis Alexander

Individual

4700 Las Vegas Blvd N

Las Vegas, NV

1306175096

Ta'wana L Jones

Individual

1900 Las Vegas Blvd

Las Vegas, NV

1588914295

Jill S Dowd

Individual

4700 North Las Vegas Blvd

Las Vegas, NV

1043554462

IDMT Ryan Mosiah King

Individual

4700 Las Vegas Blvd N

Las Vegas, NV

1598190878

IDMT Jonathan Christian Gomez

Individual

4311 Carswell Ave

Bldg 340

Las Vegas, NV

1033607478

Steven Correa

Individual

4700 Las Vegas Blvd N # 1300

Las Vegas, NV

1528604758

MR. NRP, FP-C, SO-ATP Nicholas Brown Dyches

Individual

4700 Las Vegas Blvd N Bldg 1300

Las Vegas, NV

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