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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1235440439

IDMT Stacy Marie Neagles

Individual

1050 Jabara Ave

Goldsboro, NC

1114363884

IDMT Nathan Lee Carlson

Individual

1050 Jabarrah Ave

Goldsboro, NC

1962774356

IDMT Logan A Latimer

Individual

1050 Jabarrah Ave

Flight Medicine Clinic

Seymour Johnson A F B, NC

1386937027

MR. Christopher Gary Keeton

Individual

1050 Jabarrah Ave

Seymour Johnson A F B, NC

1225425655

IDMT Justin Wells

Individual

1398 Surveyor St

Pope Army Airfield, NC

1033596937

MRS. IDMT Christina Marie Pyeatt

Individual

1050 Jabara Ave

Flight Medicine Clinic

Seymour Johnson Afb, NC

1932580305

MS. IDMT April Marie Brown

Individual

1398 Surveyor St

43 Aes

Pope Aaf, NC

1528415841

IDMT Kelby Joseph Sage Durnin

Individual

1020 Jabara Avenue

Seymour Johnson Afb, NC

1902343858

Isaiah Gary Allison

Individual

1050 Jabara Ave

Seymour Johnson A F B, NC

1366492969

USN IDC Edward Brent Lennon

Individual

100 Brewster Blvd

Camp Lejeune, NC

1184152910

David Vincent Peter Espitia

Individual

1050 Jabara Ave

Goldsboro, NC

1205472693

SOIDC Kevin Edward Murphy

Individual

Rr612 Everett Creek Road

Camp Lejeune, NC

1255566378

NREMT-P, IDMT Ronald Ray Viramontes JR.

Individual

1 Malvesti Street

Fort Bragg, NC

1598411928

IDMT Ryan Brennan

Individual

2864 Woodruff St

Fort Bragg, NC

1245955715

Emmett Schuster

Individual

2817 Reilly St

Fort Bragg, 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