| NPI | Name | Type | Address |
|---|---|---|---|
|
IDMT Jessica Marie Barker |
Individual |
317 Simms Rd Carrollton, GA |
|
|
NCMA Stephanie Denise Sulewski |
Individual |
1063 Uss Tennessee Ave Avenue Ql 11 Kings Bay, GA |
|
|
MS. Tamara Alisha Ivy |
Individual |
138 Washington Ave Waynesboro, GA |
|
|
IDMT Jason Lantz White |
Individual |
3280 Mitchell Blvd Moody A F B, GA |
|
|
IDMT Eduardo F Clemente |
Individual |
3278 Mitchell Blvd Moody A F B, GA |
|
|
IDMT Rebecca Lynne Lozano |
Individual |
620 Randolph Ave Warner Robins, GA |
|
|
MR. IDMT John Dye JR. |
Individual |
655 Seventh St. Robins Afb, GA |
|
|
IDMT Delilah Byron |
Individual |
4353 Sandy Springs Dr Valdosta, GA |
|
|
Alan Vega |
Individual |
3715 N Valdosta Rd Apt 82 Valdosta, GA |
|
|
Kristy Luna |
Individual |
2331 Downing Ave Savannah, GA |
|
|
IDMT Chun Chung Fong |
Individual |
3278 Mitchell Blvd Bldg 900 Moody Afb, GA |
|
|
Monique Nicole Toth |
Individual |
3748 Robin Ln Valdosta, GA |
|
|
MR. IDMT James Michael White |
Individual |
3278 Mithell Blvd Bldg. 900 Moody Afb, GA |
|
|
George D Young |
Individual |
1061 Harmon Ave Fort Stewart, GA |
|
|
MR. Rafael Soto JR. |
Individual |
1061 Harmon Ave Fort Stewart, GA |
|
|
IDMT Bailey Holt |
Individual |
3278 Mitchell Blvd Moody Afb, GA |
|
|
IDMT Summer Ann Felix |
Individual |
4260 Nelson Hill Pl Hahira, GA |
|
|
Bradley James Connahey |
Individual |
3278 Mitchell Blvd Moody Afb, GA |
|
|
USAF IDMT John Thacker II |
Individual |
655 7th St Unit 700 Robins Afb, GA |
|
|
Jennifer Anderson |
Individual |
7196 B Savannah St Moody Afb, GA |
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...
| 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 |