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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1427341494

Mario Antonio Ibarra

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1477797942

MR. IDMT/NREMT-P Richard D Hogan JR.

Individual

113 Howie Walters Rd

Hurlburt Field, FL

1295016863

IDMT Adam J Tarbill

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1851535884

IDMT/NREMT-P Eric James Donovan

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1104069210

MR. IDMT Travis D Pope

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1619111812

IDMT Rafael David Garcia

Individual

113 Lielmanis Ave

Hulrburt Field

Hurlburt Field, FL

1104060607

IDMT James Andrew Jack

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1902035462

MR. IDMT Marc Marrero

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1457594525

MR. IDMT-P Thomas Franklin Ward

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1134353303

MR. IDMT Joseph Damian JR.

Individual

225 Bennett Ave

Hurlburt Field, FL

1770712432

IDMT F F Yatco

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1205064144

IDMT Velvet L. Mcalister

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1558597955

MR. IDMT Jason Robert Douville

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1396017786

IDMT Bryant Adam Axtell

Individual

340 Magnolia Cir

Panama City, FL

1467707638

IDMT Jennifer Denise Mathis

Individual

913 Claeven Cir

Fort Walton Beach, FL

1477892990

IDMT Kathleen June Webster

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1841539376

Brian C Desoto

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1457790875

IDMT Caige Carter Chapman

Individual

1935 Jo Tam Lane

Navarre, FL

1821439712

IDMT Eric John Muelhausen

Individual

6151 Evergreen Pkwy

Crestview, FL

1639506579

Aaron Newby

Individual

3434 Skysail Pl

Tampa, 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