NPI | Name | Type | Address |
---|---|---|---|
IDMT Raymond J Flaiz |
Individual |
312 W. Losey Str 375 Mdg/sgopg Scott Afb, IL |
|
IDMT Ryan Michael Davis |
Individual |
310 W Losey St Scott Afb, IL |
|
IDMT Andrew Zavala |
Individual |
310 W Losey St 375th Mdg/sgopg Scott Afb, IL |
|
IDMT Timothy Blake Wilder |
Individual |
310 W Losey St Scott Afb, IL |
|
MR. IDMT Clyde Nobles JR. |
Individual |
375 Mdg Scott Afb, IL |
|
MR. IDMT Mark Winthrop Battle |
Individual |
2318 Rockwood Dr Belleville, IL |
|
IDMT Derek Cowen |
Individual |
505 Rimkus Drive Scott Air Force Base, IL |
|
MR. IDMT Patrick Christopher Korthuis |
Individual |
2400 East Dr Bldg 3650 Rm 135 Scott Afb, IL |
|
MRS. IDMT Valerie Veronica Lee |
Individual |
210 N Point Rd Fairview Heights, IL |
|
IDMT Melissa Dawn Goff |
Individual |
310 West. Losey Street Scott Afb, IL |
|
Justin Stinson |
Individual |
7526 S Clyde Ave Chicago, IL |
|
IDMT D'mario Revere |
Individual |
4465 George Washington Dr Scott Afb, IL |
|
Zachary B Reynolds |
Individual |
4691 Petty Ct Scott Afb, IL |
|
IDMT Joe Calvin Durham II |
Individual |
310 W Losey St Scott Afb, IL |
|
MR. IDMT Collin Schroeder |
Individual |
310 W Losey St Scott Afb, IL |
|
IDMT Ryan Taylor Blalock |
Individual |
310 W Losey St Scott Afb, IL |
|
Crystal June Garcia |
Individual |
310 W Losey St Scott Afb, IL |
|
Mark Alan Underhill |
Individual |
310 W Losey St Scott Afb, IL |
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 |