Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 44

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1841277605

MR. HS Patrick John Rockwell

Individual

Us Coast Guard Airstation Savannah

1297 North Lightning Road Hunter Army Airfield

Savannah, GA

1598909541

MR. IDMT Lewis Frederick Scheick

Individual

23 Mdg

Moody A F B, GA

1558505941

MRS. Natasha Latryce Walker

Individual

655 7th St

Robins Afb, GA

1649414897

IDMT Kirsten Charel Guy

Individual

665 Seventh St.

Robins Afb, GA

1982838702

MR. IDMT Edgar Lee Neal

Individual

8409 Werewolf Run

Moody A F B, GA

1972737708

MR. IDMT Paul Adams Bryant

Individual

8409 Werewolf Run

Moody A F B, GA

1023242476

IDMT Robert John Karbach II

Individual

9551 Luke St

Moody A F B, GA

1972738169

IDMT Sasha Leigh Barker

Individual

3278 Mitchell Blvd

Moody A F B, GA

1558596502

IDMT Toni L Mckee

Individual

7196b Savannah St

Moody A F B, GA

1689800997

Monica Johnson

Individual

3278 Mitchell Blvd

Moody A F B, GA

1154557361

MR. IDMT Thomas James Allen

Individual

7196b Savannah St

Moody A F B, GA

1902032154

MR. IDMT Raymond Eric Garcia

Individual

7196b Savannah St

38th Rescue Squadron

Moody A F B, GA

1447487749

IDMT Roong Robert Burket

Individual

347 Oss Osm

Moody A F B, GA

1609004779

MR. IDMT USAF John Alton Harrison

Individual

104 Windermere Cir

Perry, GA

1326282815

MR. IDMT John W Cleaves

Individual

655 7th St

Robins Afb, GA

1811128754

MR. IDMT Shawn Christopher Moore

Individual

655th 7th Street

Robins Afb, GA

1336472307

MR. IDMT Robert Wilson III

Individual

655 7th St

Robins Afb, GA

1639480809

MS. IDMT Christina Marie Barta

Individual

79 Live Oak Trl

Lakeland, GA

1346552783

MRS. Bruchell Denise Washington

Individual

4224 Wilshire Dr

Valdosta, GA

1740598911

IDMT Melissa Dionne Bridges

Individual

3278 Mitchell Blvd

Moody A F B, GA

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