Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 55

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1962646075

MRS. IDMT Daphne Roxanne Mcgill

Individual

485 Quentin Roosevelt Rd Ste 2

San Antonio, TX

1487880639

IDMT Tracy Badua

Individual

2506 Biggs St

37 Mdg/sghi

San Antonio, TX

1932335049

MR. IDMT Andre Lamonte Rouzan

Individual

Rr# 2 Box 5425

Camp Bullis

San Antonio, TX

1255567368

MRS. IDMT Lakesia Shunta' Campbell

Individual

Rr #2 Box 5425

343 Trs/mas

San Antonio, TX

1316173420

IDMT Steven Roan Bradley

Individual

Rr 2 Box 5425

343 Trs/mas Camp Bullis

San Antonio, TX

1881820926

MR. IDMT Theo William Thomas

Individual

Rr# 2 Box 5425 Camp Bullis

San Antonio, TX

1992931802

IDMT Jennifer Guerrero

Individual

Building 5425 Camp Bullis Mas

San Antonio, TX

1285861211

IDMT Edward C Medina

Individual

Rr 2 Box 5425

Camp Bullis

San Antonio, TX

1598090490

Kenneth G. Bogner

Individual

5425 Mcwilliams

San Antonio, TX

1861721557

MRS. IDMT Tara Watamaleo

Individual

626 Chamomile

San Antonio, TX

1154633592

Dionna Andrea Johnson

Individual

1011 Candlenut

San Antonio, TX

1164722195

IDMT David Ray Mendez

Individual

11010 Geneva Sound

San Antonio, TX

1275836892

MRS. IDMT Christina Morris

Individual

7202 Bluemist Pt

San Antonio, TX

1710284211

IDMT Enrique Saucedo III

Individual

10515 Manor Crk

San Antonio, TX

1780967448

IDMT Danielle Lantz

Individual

2200 Bergquist Dr

Suite 1

San Antonio, TX

1437415825

MISS IDMT Kylee Suzanne Wright

Individual

10215 Tiger Bay

San Antonio, TX

1699033324

MRS. Ashley Nicole Miller

Individual

714 Antler Post

San Antonio, TX

1275879587

Kelyn C Dos Santos

Individual

2200 Bergquist Dr

San Antonio, TX

1114364759

MR. Charles Aaron Woodward III

Individual

2200 Bergquist Dr

San Antonio, TX

1730520628

IDMT Sarah Mitchell

Individual

753 Clay Loop

San Antonio, 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