Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 10

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1164522280

IDHS Mark Magrino

Individual

Cg-1122 Uscg Hq Comdt

2100 2nd St Sw

Washington, DC

1982846416

MR. IDMT Michael James Anderson

Individual

110 Luke Ave

Afmsa/sg3p

Bolling Afb, DC

1437393618

Edwardson A Aquino

Individual

5497 Langley Way Sw Unit B

Bolling Afb, DC

1023245560

IDMT Chad Michael Smith

Individual

238 Brookley Ave

Bolling Afb, DC

1467785790

IDMT David Brian Sowers

Individual

238 Brookley Ave

Bolling Afb, DC

1689719528

MR. BS, CG IDHS, NREMT-I Jeffrey Wade Ongemach

Individual

Comdt Cg-1122 U S Coast Guard

2100 2nd St Sw, Suite 5314

Washington, DC

1689107351

Donise Wiggins

Individual

2234 S St Se Apt 1

Washington, DC

1760944953

IDMT Torrian Tatum

Individual

238 Brookley Ave Sw Bldg 1300

Bolling Afb, DC

1114696408

Elizabeth Maria Reyna

Individual

238 Brookley Ave Sw

Bolling Afb, DC

1548926223

Heath Worthington

Individual

200 K St Ne Apt 838

Washington, DC

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