Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 113

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1154632362

IDMT Shella Rittenberry

Individual

1300 N L St Apt 141

Lompoc, CA

1346552064

MR. DIVE IDC Jeffrey Thomas Gilbert

Individual

3841 Colina Dorado Dr

Apartment G108

San Diego, CA

1467683623

IDMT Nichole Reid

Individual

101 Bodin Cir

Travis Afb, CA

1477861474

IDMT Bernard Pillagara Bueno

Individual

137 Maine Street

Travis Afb, CA

1336459866

IDMT Giovanni Dyre Bonner

Individual

990 Westgate Dr

Vacaville, CA

1457654055

MR. IDMT Benjamin Jacob Lifto

Individual

101 Bodin Cir

Travis Afb, CA

1699918979

IDMT Jenna Danielle Gasper

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1780980458

IDMT Giacomo Zignago

Individual

6801 Leisure Town Rd Apt 49

Vacaville, CA

1902120736

IDMT Benito Mangrobang Caliboso JR.

Individual

330 San Marino Ave

Vallejo, CA

1861795429

IDMT Trevor Kenneth Stevens

Individual

117 Kansas St

Travis, CA

1043448897

IDMT Samir I. Shahin

Individual

101 Bodin Cir

Travis Afb, CA

1942583604

MR. IDMT William Colin Mcbride

Individual

101 Bodin Cir

Travis Afb, CA

1003109844

MRS. Jerrica Marie Wild

Individual

15301 Warren Shingle Road

Beale Afb, CA

1881968030

MRS. IDMT Kalesha Gonzalez Gonzalez

Individual

21118 Amie Avenue

Torrance, CA

1598021990

IDMT Annkathlyln Reyes Hidalgo

Individual

117 Bradley Blvd

Travis Afb, CA

1801153838

Quin Loren Mcpherron

Individual

3 Hyannis Port Place

Sacramento, CA

1659621373

IDMT Carl D Engelke

Individual

7484 Holworthy Way

Apt 139

Sacramento, CA

1952651168

IDMT Carl Anthony Yambao

Individual

101 Bodin Cir

Dgmc Er

Travis Afb, CA

1770542664

TECHNICIANS Tiffany Laine Kingsbury

Individual

1 Eagle Rd Bldg 1

Alameda, CA

1750516530

Tanisha E Harrison

Individual

15301 Warren Shingle Rd

Beale Afb, CA

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