Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 25

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1932342094

MR. IDMT Daniel Luther Green III

Individual

1 Norad Rd

Colorado Springs, CO

1063655140

MR. IDMT Gregory S. Brooks

Individual

2355 Faculty Dr Suite 1n207

10th Amds

Usafa, CO

1881838563

IDMT James Edwin Dixon

Individual

1 William White Blvd

Pueblo, CO

1518101864

IDMT Erin Marie Ugowski

Individual

2355 Faculty Dr

U S A F Academy, CO

1386879633

IDMT Edward L Nelson JR.

Individual

559 Vincent St

Colorado Springs, CO

1740417641

MR. David Andrew Holman

Individual

559 Vincent St

Colorado Springs, CO

1700013380

IDMT Curtis E Clawson

Individual

1 Norad Rd

Suite 1205

Colorado Springs, CO

1841421252

MR. Almon H. Foster

Individual

2355 Faculty Dr Ste 1n207

U S A F Academy, CO

1831333996

IDMT Mandy Grimm

Individual

559 Vincent St

Colorado Springs, CO

1720210248

MR. Dewaine Allen Olson JR.

Individual

559 Vincent St

Peterson Afb, CO

1588996243

IDMT Luke William Willis

Individual

1965 Shawnee Dr

Colorado Springs, CO

1518289115

Renee Jean Cole

Individual

4515 East Juniper Dr Unit A

Usaf Academy, CO

1881977312

IDMT Brande Nicole Sims

Individual

605 Harvest Field Way

Fountain, CO

1851675011

MRS. IDMT Susanne Clariece Fry

Individual

2540 Brady Dr

Colorado Springs, CO

1780968859

MISS IDMT Lindsey Shanks

Individual

30330 Palomino Dr

Evergreen, CO

1912243239

IDMT Lerinda Kay Carle

Individual

6676 Myrtle Creek Dr

Colorado Springs, CO

1508104449

Layla Denise Gregory

Individual

2355 Faculty Dr

Ste 1n207

Usaf Academy, CO

1386887792

IDMT Jovonne D Parnell

Individual

559 Vincent St

Colorado Springs, CO

1932431699

IDMT Ashley Jossendal Swink

Individual

1 William White Blvd

Pueblo, CO

1255754214

IDMT Lynor Dicang Hardy

Individual

Cheyenne Mountain Air Station

Colorado Springs, CO

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