Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 8

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1679709315

MR. IDMT Kevin R Nies

Individual

4881 Sugar Maple Dr

Wpafb, OH

1922234509

IDMT Gretta A Jamison

Individual

4881 Sugar Maple Dr

Wpafb, OH

1114240348

MRS. IDMT Jacqueline Marie Clark Ruhf

Individual

4881 Sugar Maple Dr

Wpafb, OH

1043447899

IDMT Stephen Brooks Martin

Individual

4881 Sugar Maple Dr

88 Mdos

Wpafb, OH

1306072103

Jennifer A Kilroy

Individual

4881 Sugar Maple Dr

Wpafb, OH

1497380364

Sean Francis Costello

Individual

4884 Sugar Maple Dr

Wpafb, OH

1558979047

IDMT Aubrey Lynn Rowe

Individual

4881 Sugar Maple Dr

Wpafb, OH

1609484195

MR. IDMT/EMT Justin Driscoll

Individual

4881 Sugar Maple Dr

Wpafb, OH

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