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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1194033365

IDMT Jessica Marie Barker

Individual

317 Simms Rd

Carrollton, GA

1114221439

NCMA Stephanie Denise Sulewski

Individual

1063 Uss Tennessee Ave

Avenue Ql 11

Kings Bay, GA

1316230527

MS. Tamara Alisha Ivy

Individual

138 Washington Ave

Waynesboro, GA

1689946071

IDMT Jason Lantz White

Individual

3280 Mitchell Blvd

Moody A F B, GA

1154556041

IDMT Eduardo F Clemente

Individual

3278 Mitchell Blvd

Moody A F B, GA

1306189576

IDMT Rebecca Lynne Lozano

Individual

620 Randolph Ave

Warner Robins, GA

1548697485

MR. IDMT John Dye JR.

Individual

655 Seventh St.

Robins Afb, GA

1356767404

IDMT Delilah Byron

Individual

4353 Sandy Springs Dr

Valdosta, GA

1952701641

Alan Vega

Individual

3715 N Valdosta Rd Apt 82

Valdosta, GA

1811397243

Kristy Luna

Individual

2331 Downing Ave

Savannah, GA

1881905073

IDMT Chun Chung Fong

Individual

3278 Mitchell Blvd Bldg 900

Moody Afb, GA

1689957862

Monique Nicole Toth

Individual

3748 Robin Ln

Valdosta, GA

1063646230

MR. IDMT James Michael White

Individual

3278 Mithell Blvd

Bldg. 900

Moody Afb, GA

1184009607

George D Young

Individual

1061 Harmon Ave

Fort Stewart, GA

1962878306

MR. Rafael Soto JR.

Individual

1061 Harmon Ave

Fort Stewart, GA

1568909091

IDMT Bailey Holt

Individual

3278 Mitchell Blvd

Moody Afb, GA

1003459942

IDMT Summer Ann Felix

Individual

4260 Nelson Hill Pl

Hahira, GA

1831725381

Bradley James Connahey

Individual

3278 Mitchell Blvd

Moody Afb, GA

1023771615

USAF IDMT John Thacker II

Individual

655 7th St Unit 700

Robins Afb, GA

1912392333

Jennifer Anderson

Individual

7196 B Savannah St

Moody Afb, 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