Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 124

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1326009952

MR. IDC Reginald C Dean

Individual

7119 Langley St

Naval Branch Health Clinic Whiting Field

Milton, FL

1134362510

IDMT Michele Suzanne Edmond

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1205079613

MRS. IDMT Jennifer Lynn Pope

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1912140328

MRS. IDMT Heather Elizabeth Johnson

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1942443338

IDMT Stephanie Nicole Newman

Individual

307 Boatner Rd

Eglin Afb, FL

1174766349

IDMT Karl Patrick Day

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1760625974

MR. IDMT Dexter Eli Vanderpool

Individual

101 Griffin Way

Eglin Afb, FL

1376787168

IDMT Enoch Walter Daniels

Individual

7448 Chevron Park Dr

Tampa, FL

1184868861

MR. IDMT Christopher Lawson

Individual

8415 Bayshore Blvd

Tampa, FL

1467696088

IDMT Christopher D. Poole

Individual

8415 Bayshore Blvd

Macdill Afb, FL

1457595936

IDMT Amanda Eitel Ramsey

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1356585830

MR. IDMT Paul C Mccarthy

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1477787653

MR. IDMT Nicholas Todd Wentworth

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1053545780

Daniel Pehrson

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1770717225

IDMT William L Newman

Individual

101 Griffin Way

Eglin Afb, FL

1700010196

IDMT James Jennings

Individual

307 Boatner Rd

Eglin Afb, FL

1508091778

IDMT Cynthia Marie Milanese

Individual

8415 Bayshore Blvd

Tampa, FL

1992930895

IDMT Jason B Robbins

Individual

595 Independence Rd

Hurlburt Field, FL

1932335312

IDMT Deana Joy Dogherra

Individual

307 Boatner Rd Bldg 2825

Eglin, FL

1447486857

IDMT Paul Richard Cadiz

Individual

307 Boatner Rd Ste 114

Eglin Afb, FL

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