Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 38

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1801132220

IDMT Dena Levari

Individual

208 W Casablanca Ave

Clovis, NM

1083844054

IDMT Lindsay Vincent

Individual

208 W Casablanca Ave

27 Somdg

Cannon Afb, NM

1831438357

IDMT John Frederick Rinaldi

Individual

3500 Adenmore Ct

Apt C

Clovis, NM

1962645101

MS. IDMT, NREMT Kimberly Renee Weaver

Individual

1501 San Pedro Dr Se

Albuquerque, NM

1265983068

IDMT Yurikoaokio Motomochi Livas

Individual

209 Wilmington Cir

Clovis, NM

1144797556

William Murphy Whittle

Individual

2000 Hallum St

Clovis, NM

1134748692

Patrick James Scollon

Individual

104 W D. L. Ingram Ave, Cannon Afb, Nm 88101

Cannon Afb, NM

1750907465

IDMT Noah Johnson

Individual

280 1st St Bldg 23

Holloman Afb, NM

1689271736

Sinead Catherine Brosnan

Individual

208 D L Ingram Ave W

Clovis, NM

1801496625

Stephen Kreidler

Individual

5453 Roosevelt Loop Ne

Rio Rancho, NM

1225615644

Bradley Edward Hudson

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1326611005

Benjamin Schultz

Individual

201 Pinnacle Dr Se Apt 1213

Rio Rancho, NM

1497374011

IDMT Austin G Watson

Individual

2050a 2nd St Se

Kirtland Afb, NM

1538699418

IDMT Erik M Waldrip

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1083369938

Keaton James Rider

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

1245865120

Zachary E Lavoy

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1578103461

Benjamin Andrew Gallentine

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1033452206

MR. IDMT Jason Anthony Evans

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

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