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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1386957256

MR. IDMT Joseph Harold Williams III

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1164861704

IDMT Jared Steven Sleeman

Individual

524 Tikell Dr

Crestview, FL

1891926317

MR. IDMT, PARAMEDIC Layton A Roubique

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1457687139

MR. IDMT James Christian Scrivener

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1770836496

IDMT Lawrence Allen Whitmore

Individual

113 Lielmanis Ave

Bldg 91020

Hurlburt Field, FL

1366865321

IDMT Stephanie Fike

Individual

2804 Winners Circle Dr

Navarre, FL

1750709317

IDMT Sean Williams

Individual

340 Magnolia Cir

Panama City, FL

1184868622

IDMT Ramon Oliver

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1851703177

MR. IDC Robert Murray JR.

Individual

2080 Child St

Jacksonville, FL

1336375914

IDMT, PARAMEDIC Daniel L Paxton

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1891196531

IDMT Lorex Boy Lagora

Individual

1010 Nw 91st St

Miami, FL

1790911378

IDMT Edward H Crowe

Individual

100 Bartley St

Hq Afsoc/sgx

Hurlburt Field, FL

1306103254

IDMT Wanda Mendez

Individual

4558 Hermosa Rd

Crestview, FL

1568605855

MR. IDMT-PARAMEDIC Richard Nick Norland

Individual

309 Chickasaw Cir

Fort Walton Beach, FL

1821541145

IDMT Marcus Quintanilla

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1770991903

IDMT Eric Martinez

Individual

340 Magnolia Cir

Tyndall, FL

1982137527

IDMT Brendon Baez

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1699208231

IDMT Dante Dubose

Individual

307 Boatner Rd

Eglin Afb, FL

1497283188

MR. IDMT Christopher Warner

Individual

340 Magnolia Cir

Panama City, FL

1548782972

IDMT Andrew Rudolph Edwin Davis

Individual

307 Boatner Rd Ste 114

Eglin, 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