Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 78

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1306070859

IDMT, EMT James Shown

Individual

496th Abs, Moron Ab,/sg

Apo, AE

1568696946

IDMT Wendell Hill

Individual

Psc 62 Box 6915

Unit 6585

Apo, AE

1265666515

IDMT Charles Grady Wortman

Individual

52 Mdg

Unit 3865

Apo, AE

1053546275

MR. IDMT Charles Oscar Sales

Individual

Psc 123 Box 86

Apo, AE

1356576409

IDMT Naomi Ann James

Individual

52 Mdg (usafe)

Spangdahlem Air Base

Apo, AE

1154556215

IDMT Cheryl Elizabeth Shaffer

Individual

435th Medical Group

Unit 3215

Apo, AE

1316172471

IDMT Ruben Mark Vazquez

Individual

Psc 123 Box 84

Apo, AE

1861627671

Vance Grazak

Individual

435th Medical Group Unit 3215

Apo, AE

1538394341

IDMT Robyn Rosemary Ponomar-ford

Individual

Psc 103 Box 245

Apo, AE

1851526578

MS. IDMT Leah Jayne Schneider

Individual

Cmr 402 Box 1446

Apo, AE

1104051812

Brian James Willberg

Individual

Psc 17

Box 134

Apo, AE

1093941403

Ronnie O'dell Wright

Individual

Psc 112 Box 18

Apo, AE

1467689802

Anthony Joseph Migliore

Individual

Psc 1501

Box 1291

Apo, AE

1255568374

MR. IDMT Anthony S. Patti

Individual

Psc 41 Box 2616

Apo, AE

1598993701

IDMT Matthias K Blitz

Individual

Psc 9 Box 741

Apo, AE

1053549204

MRS. IDMT Amanda Marie Stlaurent

Individual

Psc 41 Box 2143

Apo, AE

1609004589

IDMT Lashonda M Green Morehead

Individual

435 Th Mdos/sgopf

Unit 3215 Ramstein Ab, Germany

Apo, AE

1336378017

IDMT Kelley Melissa Joyner-haasis

Individual

Building 965 Room 1j01a

Apo, AE

1184853681

MR. IDMT William Jacob Leyva

Individual

Psc 88

Box 2738

Apo, AE

1093944209

La,valle Boswell

Individual

425 Abs/sg

Unit 6870 Box 14,

Apo, AE

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