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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1093160665

EMT Jeffrey Beaston

Individual

101 Bodin Cir

60 Amds/sgph

Travis Afb, CA

1447606322

IDC Jeffrey Tyler Whitson

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1275055964

IDMT Timothy Rohlfing

Individual

101 Bodin Cir

Travis Afb, CA

1710409404

IDMT Enrique Trujeque

Individual

101 Bodin Cir

Travis Afb, CA

1154847960

IDMT James Edward Schafer

Individual

883 Covey Ct

Hollister, CA

1730606658

IDMT Jeffrey Rodriguez

Individual

975 Carl Cir

Edwards, CA

1912131426

IDMT Jesse Vargas

Individual

101 Bodin Cir

Travis Afb, CA

1558873968

IDMT Giovanni Oddo

Individual

25051 Mawson Dr

Laguna Hills, CA

1760740484

IDMT Rebecca Lee Flores

Individual

60mdg/60 Mdos

101 Bodin Circle

Travis Afb, CA

1689136871

IDMT Amber Lauren Young

Individual

101 Bodin Cir

Travis Afb, CA

1245792332

MR. IDMT Larin Timothy Clark

Individual

101 Bodin Cir

Travis Afb, CA

1558911024

Christopher Andersen

Individual

1000 Allison Dr Apt 183

Vacaville, CA

1386287225

Teresa Monteon

Individual

101 Bodin Cir

Travis Afb, CA

1508406596

Ivette Mariana Brueggemann

Individual

101 Bodin Cir

Travis Afb, CA

1649810458

IDMT Andrew Lawrence Pierson

Individual

101 Bodin Cir

Travis Afb, CA

1467686543

MRS. IDMT Mary Issitt

Individual

David Grant Medical Center

101 Bodin Circle

Travis Afb, CA

1346869096

Seth Heying

Individual

55 N Wolfe Ave

Edwards Afb, CA

1851917165

IDMT Katelyn Renee Watson

Individual

101 Bodin Drive

Bldg 777

Fairfield, CA

1821606591

Madelyn Hale

Individual

101 Bodin Cir

Travis Afb, CA

1922616416

MRS. IDMT Brittney Lakey

Individual

473 Cabrillo St Bldg 422

Monterey, 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