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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1205063666

IDMT Rina Lynn Callaway

Individual

737 Trg

Lackland Afb, TX

1285867069

MR. IDMT Carmen Edward Arnoni JR.

Individual

1618 Truemper Ave.

Lackland Afb, TX

1881828432

IDMT Chester Allen Wilds

Individual

737 Trss

Lackland Afb, TX

1679856850

Terence A Graden

Individual

2200 Bergquist Dr. Suite 1

Wilford Hall

Lackland, Afb, TX

1326435751

IDMT Ashley Mcnealy

Individual

1515 Truemper St

Lackland Afb, TX

1063047959

Evan M Dilley

Individual

2200 Bergquist Dr

Lackland Afb, TX

1467121756

MISS Marina Thais Stevens

Individual

1100 Wilford Hall Loop Bldg 4554

Lackland Afb, TX

1659035525

IDMT Craig Keyes

Individual

1940 Carswell Ave Bldg 7002

Lackland Afb, TX

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