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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1184851529

IDMT Angela Noel Messer

Individual

8415 Bayshore Blvd

Tampa, FL

1033353529

MR. IDMT Reth El

Individual

113 Howie Walters Rd

Hurlburt Field, FL

1538397898

MRS. IDMT Nicole Gonzalez

Individual

8415 Bayshore Blvd

Tampa, FL

1821228149

MRS. IDMT Michelle K Du Lac

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1396975363

Derick R Harris

Individual

1321 S Patrick Dr

Patrick Afb, FL

1689903379

IDMT Joseph Louis Lorden

Individual

319 Holmes Blvd Nw

Ft Walton Bch, FL

1376867101

MS. IDMT Loretta Ann Scott

Individual

2401 Stanford Rd

Apt. 702

Panama City, FL

1366760118

IDMT Jeremy Phillip Rhodus

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1740415280

IDMT Wilbert B Reeves Ii

Individual

225 Bennett Ave

Hurlburt Field, FL

1730491176

MR. IDMT Travis J Fritz

Individual

712 Osceola Cir

Eglin Afb, FL

1558673996

IDMT James Sky Howell

Individual

9041 Aspen Hollow Pl

Riverview, FL

1609002286

IDMT Nicole Pukylo Spickerman

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1013225283

IDMT Jeanette Necole Harris

Individual

1381 S Patrick Dr

Patrick Afb, FL

1033428586

IDMT Britton Adams

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1336445741

IDMT Amber Nicole Doll

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1326346776

Carla D Morgan

Individual

7964 Promise Creek Rd

Navarre, FL

1144528597

MS. Christine Lou Selby

Individual

11408 Flora Springs Dr

Riverview, FL

1407149610

Natasha Vosburgh

Individual

145 4th Ave Apt B4

Shalimar, FL

1043593221

IDMT Elaine Jimenez

Individual

1811 Mobility Ln

Tampa, FL

1174803183

MS. Cortney Leona Mullen

Individual

113 Lielmanis Ave

Hurlburt Field, 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