| NPI | Name | Type | Address |
|---|---|---|---|
|
EMT Jeffrey Beaston |
Individual |
101 Bodin Cir 60 Amds/sgph Travis Afb, CA |
|
|
IDC Jeffrey Tyler Whitson |
Individual |
34101 Farenholt Ave Building 14 San Diego, CA |
|
|
IDMT Timothy Rohlfing |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Enrique Trujeque |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT James Edward Schafer |
Individual |
883 Covey Ct Hollister, CA |
|
|
IDMT Jeffrey Rodriguez |
Individual |
975 Carl Cir Edwards, CA |
|
|
IDMT Jesse Vargas |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Giovanni Oddo |
Individual |
25051 Mawson Dr Laguna Hills, CA |
|
|
IDMT Rebecca Lee Flores |
Individual |
60mdg/60 Mdos 101 Bodin Circle Travis Afb, CA |
|
|
IDMT Amber Lauren Young |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
MR. IDMT Larin Timothy Clark |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
Christopher Andersen |
Individual |
1000 Allison Dr Apt 183 Vacaville, CA |
|
|
Teresa Monteon |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
Ivette Mariana Brueggemann |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Andrew Lawrence Pierson |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
MRS. IDMT Mary Issitt |
Individual |
David Grant Medical Center 101 Bodin Circle Travis Afb, CA |
|
|
Seth Heying |
Individual |
55 N Wolfe Ave Edwards Afb, CA |
|
|
IDMT Katelyn Renee Watson |
Individual |
101 Bodin Drive Bldg 777 Fairfield, CA |
|
|
Madelyn Hale |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
MRS. IDMT Brittney Lakey |
Individual |
473 Cabrillo St Bldg 422 Monterey, CA |
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...
| 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 |