Louisiana. Independent Duty Medical Technicians. Taxonomy Code 1710I1003X(1710i1003x)

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B

Barksdale Afb 6

Bossier City 1

M

Metairie 1

Monroe 1

S

Shreveport 1

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Independent Duty Medical Technicians Providers

NPI	Name	Type	Address
1194969550	IDMT Charles Wayne Sheffield	Individual	243 Curtiss Rd Barksdale Afb, LA
1598909970	MR. IDMT Jody Lee Ohmer	Individual	243 Curtiss Rd Barksdale Afb, LA
1346484805	MRS. IDMT Rachonn Shalette Williamson	Individual	243 Curtiss Rd St 100 (2amds/sgpf) Barksdale Afb, LA
1790014660	MRS. IDMT Athena Lee Castilleja Ezernack	Individual	407 Barksdale Blvd E Barksdale Afb, LA
1710243126	IDMT Mark Butanis	Individual	3913 N I 10 Service Rd W Apt 239 Metairie, LA
1033477757	MISS IDMT Shandy Gore	Individual	5610 Buncombe Rd Apt 907 Shreveport, LA
1043566698	IDMT Mikka Slater	Individual	1503 University Ave Monroe, LA
1730313602	Brian W Signal	Individual	243 Cutiss Rd 2 Mdg Barksdale Afb, LA
1568803450	IDMT Jenna Elizabeth Davila	Individual	293 Avondale Ln Bossier City, LA
1891179578	IDMT Heather C Acres	Individual	243 Curtiss Rd Barksdale Afb, LA

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

Taxonomy Code 1710I1003X(1710i1003x) Independent Duty Medical Technicians. Providers: 10

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Independent Duty Medical Technicians Providers

How to obtain, renew, or terminate an NPI

Military Health Care Provider Codes

Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 10