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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1902031636

IDMT Rashelle L Young

Individual

Psc 3 Box 1201

Apo, AP

1457586182

IDMT Alan R Ramos

Individual

Psc 3 Box 6606

Apo, AP

1689809055

MRS. IDMT Bethany Lynn Hagen Bowles

Individual

18 Amds Unit 5267

Apo, AP

1851527964

IDMT Rustam A Jumani

Individual

35 Mdg

Misawa Ab

Apo, AP

1679700850

MR. Rashard Derran Watson

Individual

18th Medical Group

Unit 5142

Apo, AP

1760619308

MISS IDMT Leslie A Charles

Individual

51 Mdos/sgopf

Bldg 777 Unit 2060

Apo, AP

1699903146

MS. IDMT Elizabeth L Fauber

Individual

9551 Luke Street

Apo, AP

1649409111

IDMT Daniel L Thetford

Individual

Unit 2060

Apo, AP

1689804254

MR. IDMT Ronald Demetric Bagley

Individual

51 Mdos/ Sgoe

Bldg. 777 Unit 2060

Apo, AP

1750511341

IDMT Carlo Q Padua

Individual

Psc 80

Box 10717

Apo, AP

1245462951

MS. IDMT Rikki Lanetta Waddell

Individual

Psc 4 Box 237

Apo, AP

1891939781

I.D.M.T Eduardo Eric De Souza

Individual

Bldg 777

Unit 260

Apo, AP

1811129190

IDMT Raymund Rasing

Individual

51 Amds/sgpf

Unit 2060

Apo, AP

1750618179

IDMT China Cristine Marrie Mills

Individual

374 Msgs/sgcug - Ob/gyn Clinic

Unit 5071 Bldg 4408

Apo, AP

1104051150

IDMT Christan M Battle

Individual

35th Msgs/sgca

Unit 5024 Bldg 99

Apo, AP

1942536024

MR. IDMT Michael Matthew Wixom

Individual

Psc 80 Box 20878

Apo, AP

1982830055

MR. IDMT Paul Thomas Dunbar

Individual

18 Mdos/sgomi

Kadena Airbase Japan

Apo, AP

1740512409

MR. IDMT Robert R Rose

Individual

18th Medical Group

Unit 5267

Apo, AP

1134363344

MR. Ali Rivers

Individual

Psc 80 Box 21915

Apo, AP

1891092391

IDMT Erica L Snipes

Individual

18 Amds / Sgpfp

Unit 5267

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