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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1366051294

IDMT Ryan Allan Arriaga

Individual

1000 Allison Dr

Vacaville, CA

1538769351

Chelsey Violet Pelkey

Individual

101 Bodin Cir

Travis Afb, CA

1356939425

Kristi Gouge

Individual

101 Bodin Cir

Travis Afb, CA

1578143558

Christopher Michael Babcock

Individual

101 Bodin Cir

Travis Afb, CA

1942623707

IDMT John Cardona

Individual

1621 Wallingford Lane

Fairfield, CA

1003585399

Desmond Jacob Marroquin

Individual

2418 Sunflower Ter

Vista, CA

1952063471

Scott Breitler Engler

Individual

1020 N Access Road

San Francisco, CA

1770232753

IDMT Brody Tanner Ehalt

Individual

101 Bodin Cir

Travis Afb, CA

1770233660

MR. IDMT Isaac Daniel James JR.

Individual

101 Bodin Cir

Travis Afb, CA

1912504093

MR. IDMT Dallas Omar Mcwilliams

Individual

101 Bodin Cir

Fairfield, CA

1477971646

IDMT Michael Ball

Individual

101 Bodin Cir

Travis Afb, CA

1124753355

Logan Allen Stangler-castleberry

Individual

354 Royal Oaks Dr

Vacaville, CA

1639472236

IDMT- PARAMEDIC Derrick Dewayne Sweat

Individual

338 S Dakota Ave

Lompoc, 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