Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 14

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1487678926

IDC Robin Michelle Ward

Individual

480 Central Ave

Pearl Harbor, HI

1124262746

MR. IDMT John Craig Bright

Individual

15mdos/sgomf 755 Scott Circle

Hickam Afb, HI

1912141557

MR. IDMT Bobby L. Woods

Individual

310 Worchester Ave Bldg 45

Jpac Medical Section

Hickam Afb, HI

1154556280

MR. IDMT Rodney Valdecanas Acasio

Individual

310 Worchester Ave Bldg 45

Hickam Afb, HI

1730318791

IDMT Mark P Picchione

Individual

310 Worchester Ave

Bldg 45

Hickam Afb, HI

1639300312

Cameron Modisette

Individual

755 Scott Cir

Hickam Afb, HI

1982838793

MR. IDMT Ryan Michael Bauermeister

Individual

1200 Queen Emma St

1905

Honolulu, HI

1922232230

IDMT Angela Marie Alveo-forbes

Individual

375 Mamiya St

Bldg 2140

Hickam Ab, HI

1477692143

Kenneth A. Davis

Individual

400 Sand Island Pkwy

Cgc Kukui (wlb-203)

Honolulu, HI

1740423151

IDMT Douglas Brook

Individual

755 Scott Cir

Jbphh, HI

1558723858

IDMT Rossmery Aragon-leonard

Individual

755 Scott Cir

Jbphh, HI

1477013217

Nathan Robert Becker

Individual

755 Scott Cir

Jbphh, HI

1356992457

Emma Jo Ann Marquez

Individual

755 Scott Circle Drive

Honolulu, HI

1093358939

IDMT Kyle Luis Munoz Valdes

Individual

135 Aupaka St

Honolulu, HI

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