Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 35

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1528044872

CWO Tina M Starling

Individual

U.s. Coast Guard

Support Center Medical

Elizabeth City, NC

1194932673

MR. IDC Thomas Harrison Gentry III

Individual

110 Fieldcrest Dr

Jacksonville, NC

1184867442

IDMT Angela Marie Carter

Individual

1050 Jabarrah Ave

Seymour Johnson A F B, NC

1801030903

IDMT Keith Rockins

Individual

383 Maynard St

307a Flight Medicine

Pope Afb, NC

1699919795

IDMT Charles J Ross

Individual

5809 Ivanhoe Ct Apt 18

Fayetteville, NC

1972747863

IDMT/NREMT-P Barry Alan Frasier

Individual

3-1947 Malvesti Road

Pope Afb, NC

1710121595

IDMT Sheila Ann Shimek Christman

Individual

383 Maynard St

Bldg 307a Flight Medicine

Pope Afb, NC

1871737593

IDMT Gwen Marie Compton Wear

Individual

3-1947 Malvesti Road

Pope Afb, NC

1952545477

MRS. IDMT, PARAMEDIC Heidi Nichole Oberst

Individual

Malvesti Street Bldg. 3-3046

Jsoc Aid Station

Fort Bragg, NC

1417191974

IDMT Erik William Rodriguez

Individual

106 Purple Martin Pl

Fayetteville, NC

1962637504

MR. IDMT Christopher Michael Lohr

Individual

102 Partridge Rd

Fayetteville, NC

1568697068

IDMT Jessica Serpa

Individual

383 Maynard St

Pope Afb, NC

1609006204

MR. Brian Joseph Carter

Individual

1050 Jabara Avenue

4 Amds/sggf (attn: Msgt B. Carter

Seymour Johnson, NC

1467784926

MR. IDMT James Blake Little

Individual

300 Meadow Rd

Goldsboro, NC

1811211642

IDMT Leasa C Novotny

Individual

271 Sheridan Forest Rd Apt 1200

Goldsboro, NC

1710116595

IDMT Patrick Joseph Hunt

Individual

1 Matero Dr

Ol-c 342trs

Pope, NC

1487898961

USAF IDMT/PARAMEDIC Jason Dean Cox

Individual

Aid Station

Command Surgeon

Fort Bragg, NC

1750662417

MR. IDMT Daryl Bradley

Individual

146 Tulane Dr

Raeford, NC

1912267295

MRS. Amber Lynn Scouton

Individual

215 Bolling Dr

Goldsboro, NC

1821334244

MR. IDMT David Layne Frederick JR.

Individual

1050 Jabarrah Ave

Seymour Johnson A F B, NC

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