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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1760625164

IDMT Kelly Sligar

Individual

Psc 78 Box 1009

Apo, AP

1407099773

IDMT Christopher L Casoria

Individual

Psc 3 Box 3044

Apo, AP

1104069483

IDMT Jessica Fay Lagerveld

Individual

Psc 80 Box 17309

Apo, AP

1477796753

MR. IDMT Sixto Manuel Vargas

Individual

Psc 80 Box 17226

Apo, AP

1184867467

MR. IDMT Trevor J Correia

Individual

Psc 80 Box 17488

Apo, AP

1285877498

MR. IDMT Stephen Jerome White

Individual

374 Msgs/sgne

Unit 5071

Apo, AP

1720221948

MR. IDMT Roberto Ocampo Gutierrez

Individual

Mdos

Unit 5227

Apo, AP

1134362213

MR. IDMT Martin F Mckay JR.

Individual

Unit 5041

Apo, AP

1467696344

MR. IDMT Ray Anthony Vazquez

Individual

35th Medical Group

Unit 5024

Apo, AP

1427292226

IDMT Melissa Anne Worley

Individual

Bldg 3531

Kadena Ab Japan

Apo, AP

1659515070

IDMT David J Billings

Individual

353d Operations Support Squadron

Unit 5247 Box 10

Apo, AP

1407090624

Christopher Soto

Individual

51 Mdg

Unit 2060

Apo, AP

1619101870

IDMT John Michael Cronin

Individual

35 Mdg

Misawa Ab, Japan

Apo, AP

1619101375

MR. IDMT Karl Elliott Vanover

Individual

35 Mdg/sgpf

Unit 5041

Apo, AP

1457585929

MRS. IDMT Tanya Anne Jacquez

Individual

Psc 76 Box 8415

Apo, AP

1992939243

MR. IDMT Cesar Chavez

Individual

320 Sts

Unit 5248

Apo, AP

1306071345

MS. IDMT Beth Marie Sherman

Individual

36 Mdos/sgoaf

Unit 14010

Apo, AP

1598990426

MR. IDMT Patrick John Mceneany JR.

Individual

Psc 80

Box 13685

Apo, AP

1770718587

IDMT Quincy G. Hall

Individual

Eglin Air Force Base

728th Acs

Apo, AP

1114152014

MR. IDMT John Duncan Graham III

Individual

18 Medical Operations Squadron

Unit 5269

Apo, AP

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