Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 23

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1952545642

MR. IDMT Rito Jesus Prieto

Individual

3458 Neely Rd.

Mafb, NJ

1508000225

IDMT Nicole Pennock

Individual

3458 Neely Rd

Mcguire Afb, NJ

1497989081

MR. IDMT Colby J Bowers

Individual

5656 Texas Ave

Fort Dix, NJ

1760617088

IDMT Matthew Thompson

Individual

84 Dawn Dr

Mount Holly, NJ

1528292992

MS. IDMT Johnetta Bennefield

Individual

3458 Neely Rd

Mcguire, NJ

1225265226

IDMT Victor M Figueroa

Individual

5656 Texas Ave

Fort Dix, NJ

1790912467

IDMT Sarah Jane Laney

Individual

3458 Neely Road

Mcguire Afb, NJ

1841428174

MR. Joseph Nunzio Coyle

Individual

5651 Texas Ave.

Fort Dix, NJ

1538399068

IDMT Michael Joseph Steiner

Individual

3458 Neely Road

Room 1c15 Attn: Smsgt Steiner

Mcguire Afb, NJ

1457581704

IDMT Jesus Octavio Amador

Individual

2305 Saxony Dr

Mount Laurel, NJ

1043440001

MS. IDMT Tamilynn Reese

Individual

54 Village Dr

Barnegat, NJ

1659505030

MS. IDMT Kimberley Dawn Bock Tabor

Individual

3453 Neely Rd

Mcguire Afb, NJ

1851646020

MS. Kshena Fuentes

Individual

210 Canal Cir

Lumberton, NJ

1346597994

IDMT Terrence Asher Kneapler

Individual

125 Adams Ave

Browns Mills, NJ

1871884890

Renee Nichole Snavely

Individual

3903a Spaatz Dr

Trenton, NJ

1114259876

MR. IDMT Gary Alan Friedman

Individual

3458 Neely Rd

Mcguire Afb, NJ

1528494457

IDMT Melissa A Wright

Individual

4259d E George St

Trenton, NJ

1306263108

IDMT Jamal Hogan SR.

Individual

3322 Charles Blvd

108th Crg

Mcguire Afb, NJ

1689978173

IDMT Margarita Mailander

Individual

3458 Neely Rd

Jb Mdl, NJ

1982147674

IDMT Kelsiann Echavaria

Individual

3458 Neely Rd

Jb Mdl, NJ

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