Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 29

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1013150390

MR. IDMT Carl Alan Vetter

Individual

4700 Las Vegas Blvd N

99 Mdg/sgne

Nellis Afb, NV

1770726093

MR. IDMT Michael L Klein

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1881828812

IDMT Kellie Boisse

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1851527279

MR. IDMT Nicanor Mercado Laudato JR.

Individual

4250 Griffiss Ave

Nellis Afb, NV

1891921193

IDMT Angela Leilani Quinones

Individual

4250 Griffiss Ave

Nellis Afb, NV

1134357163

Dejnekki Ayana Peyton

Individual

4250 Griffiss Ave

Nellis Afb, NV

1497983332

IDMT Christopher Lee Clark

Individual

5179 Malmstrom Ave

Nellis Afb, NV

1255560462

MR. IDMT Jordan Lawrence

Individual

1579 Malmstrom Avenue

Nellis Afb, NV

1124253554

MS. Freda Ann Henderson

Individual

4250 Griffiss Ave

Nellis Afb, NV

1952532814

United States Air Force

Organization

4250 Griffiss Ave

Nellis Afb, NV

1306104021

IDMT Kayleigh Madison Mcaviney

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1215295936

IDMT Paula Lynn Moungsiharat

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1639503444

Hugo Silva

Individual

4311 Carswell Ave

Bldg 340

Nellis Afb, NV

1780037036

'IDMT' Codie James White

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1417480054

IDMT Daniel Potter

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1851931869

Jesse Eduardo Beltran

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1801404397

Madelyn Danielle Golden

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1245837392

Cameron Springer

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1831631787

IDMT Dylan T. Denker

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1144753781

IDMT Danny Joonsang Lim

Individual

4700 Las Vegas Blvd N

Nellis Afb, 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