Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 42

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1215137203

Mindy Ann Tucker

Individual

Bldg N-46 Cape Sarichef

Kodiak, AK

1225272073

IDMT Landru Derek Medvec

Individual

2422 Arctic Ave

Apt D

Eielson Afb, AK

1134355316

IDMT Richard Benkovics

Individual

5955 Zeamer Ave

3 Amds

Elmendorf Afb, AK

1689800864

IDMT Paul E Bennetts

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1831325018

Shannon J Tyler

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1861628943

MS. Amy Dawn Swanger

Individual

5955 Zeamer Ave

3 Ipts/sgic

Elmendorf Afb, AK

1356577845

IDMT Daniel White

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1205063799

MR. IDMT Darrell Anthony Mathieu JR.

Individual

5955 Zeamer Ave

3 Amds

Elmendorf, AK

1922235357

MR. Darrell G Clement

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1063649234

MR. IDMT John Michael Strothenke

Individual

2630 Central Avenue Suite 1

354 Medical Operations Squadron, Clinical Medicine Flt

Eielson Air Force Base, AK

1821225913

MR. IDMT Alton E Doe JR.

Individual

2630 Central Ave

Ste 1

Eielson Afb, AK

1316170491

IDMT Jesse A Lopez

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1851534184

EMT-B, PHTLS, ACLS, Angelia Deanne Calder

Individual

2630 Central Ave

Eielson Afb, AK

1982830287

MRS. IDMT Julianne Marie Lujan

Individual

2630 Central Ave

354 Mdos Flight Medicine Clinic

Eielson Afb, AK

1285055129

IDMT Jennifer Trout

Individual

18226 Pioneer Dr

Eagle River, AK

1104234285

Kayla Baxter

Individual

5995 Zeamer Ave

Jber, AK

1306236591

IDMT Jordanne Marie Stover

Individual

5955 Zeamer Ave

Jber, AK

1922498096

IDMT Kari Lynn Robinson

Individual

5955 Zeamer Ave

Jber, AK

1730541038

MR. IDMT Matthew Robert Kramer

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1780172122

IDMT Kathryn Noel Nyunt

Individual

5955 Zeamer Ave

Anchorage, AK

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