Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 19

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1942341490

Tomas Robert Gruennert

Individual

8501 Tanner Williams Rd

Mobile, AL

1295913820

MR. EMT-B Joseph Russel Brown

Individual

Bld 315 Usaamc

Fort Rucker, AL

1962676791

MS. Stephanie Christine Mock

Individual

8501 Tanner Wms Rd

Mobile, AL

1972749554

Micheal A Benamon

Individual

301 Andrews Avenue

Lyster Army Health Clinic

Fort Rucker, AL

1396988705

IDMT Mark K Thomas

Individual

501 Lemay Plz N

Maxwell Afb, AL

1154564573

MR. IDMT Darrell Graham Critzer

Individual

501 Lemay Plz N

Maxwell Afb, AL

1447493549

Jennfier Rebekah Stokes

Individual

501 Lemay Plz N

Montgomery, AL

1558505669

Billy Houston Nored

Individual

125 Chennault Cir

Montgomery, AL

1295979730

MR. IDMT Darrell Edward Kirby

Individual

124 Chennault Circle

Montgomery, AL

1265664098

IDMT Joshua A Barr

Individual

501 Lemay Plz N

Montgomery, AL

1912223249

IDMT Kenena Danielle Johnson

Individual

3711 Pecan Grove Dr Nw

Huntsville, AL

1962714303

MR. Randylle E Sneed

Individual

6254 Taylor Ridge Rd

Montgomery, AL

1790095222

MR. IDMT Brad David Nunley

Individual

1339 Spring Valley Dr Ne

Arab, AL

1881991420

MR. IDMT James Henry Barnett JR.

Individual

1819 Shade Ave

Florence, AL

1780956177

IDMT Rolando Smythe

Individual

91 White Ave

Maxwell Afb, AL

1245799618

Collin Griffith

Individual

300 Twining St

Montgomery, AL

1558004820

EMT, IDMT, BLS, ALS Chandler Austin Breland

Individual

201 Stetson Ln

Alabaster, AL

1447985684

Thomas Coleman Vice

Individual

6231 Municipal Park Dr

Loxley, AL

1295212413

IDMT Walter Steven Agudelo

Individual

300 Twining St Bldg 760

Maxwell Afb, AL

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