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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1104303320

MR. IDMT Luis Baltazar Baptista

Individual

5955 Zeamer Ave

Jber, AK

1912481656

IDMT Colin Michael Mullaly

Individual

5955 Zeamer Ave

Anchorage, AK

1104393446

IDMT Matthew Gray

Individual

2630 Central Ave

Eielson Afb, AK

1851853048

Jordan Matthew Cate

Individual

5955 Zeamer Ave

Jber, AK

1457810657

MS. IDMT Mycala B Stedingh

Individual

673 Mdg

5955 Zeamer Ave

Jber, AK

1518586122

MRS. Amanda Nichols

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1578189387

IDMT Eric Dylan Mason

Individual

2630 Central Ave

Eielson Afb, AK

1447850268

Ryan Rene Reyes

Individual

1024 Nordale Rd

North Pole, AK

1982284964

Toula Farnsworth

Individual

2630 Central Ave

Eielson Afb, AK

1518483320

IDMT Jessica Ann Saft

Individual

8497 Rickenbacker Ave

Jber, AK

1861093304

Ryan Garcia

Individual

673d Med Group

Jber, AK

1063851616

IDMT Alina J Shayler

Individual

8497 Rickenbacker Ave

Jb Elmendorf, AK

1629312988

IDMT Jack Williams

Individual

5955 Zeamer Ave

Jber, AK

1770838948

IDMT Heidi Derade

Individual

5955 Zeamer Ave

Jber, AK

1235637000

Jeffrey Allen Villalpando

Individual

5955 Zeamer Ave

Jber, AK

1255801049

Jose Edwin Aviles

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1073949681

IDMT Sarah Nicole Thompson

Individual

8497 Rickenbacher Ave

Jber, AK

1972266245

Cookie Oakley

Individual

49000 Army Guard Road

Jber, AK

1205505591

IDMT Sarah Favorite

Individual

4774 Gray Loop Unit D

Anchorage, AK

1649928409

Norbu Tsering

Individual

8497 Rickenbacker Ave

Jber, 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