Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 51

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1013150390

MR. IDMT Carl Alan Vetter

Individual

4700 Las Vegas Blvd N

99 Mdg/sgne

Nellis Afb, NV

1770726093

MR. IDMT Michael L Klein

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1346483500

IDMT Brandy R Williams

Individual

9303 Gilcrease Ave

Unit 1207

Las Vegas, NV

1912141011

MR. IDMT George Steven Cum

Individual

811 Grier Dr

Las Vegas, NV

1306080296

MR. IDMT/NREMT-P James Christopher Pennington

Individual

Bldg 1032 Creech Afb

Cafb Medical Aid Station

Indian Springs, NV

1689818064

IDMT Gary Martin

Individual

811 Grier Dr

Las Vegas, NV

1699919829

IDMT Joshua Luke Roberts

Individual

29 Marble Apex Ave

N Las Vegas, NV

1881828812

IDMT Kellie Boisse

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1225263072

IDMT Adrienne L Clark

Individual

5154 Ellsworth Ave

Suite 61690

Las Vegas, NV

1851527279

MR. IDMT Nicanor Mercado Laudato JR.

Individual

4250 Griffiss Ave

Nellis Afb, NV

1891921193

IDMT Angela Leilani Quinones

Individual

4250 Griffiss Ave

Nellis Afb, NV

1134357163

Dejnekki Ayana Peyton

Individual

4250 Griffiss Ave

Nellis Afb, NV

1497983332

IDMT Christopher Lee Clark

Individual

5179 Malmstrom Ave

Nellis Afb, NV

1518197078

MISS IDMT Tanya Lane Hatfield

Individual

811 Grier Dr

Suite B

Las Vegas, NV

1255560462

MR. IDMT Jordan Lawrence

Individual

1579 Malmstrom Avenue

Nellis Afb, NV

1124253554

MS. Freda Ann Henderson

Individual

4250 Griffiss Ave

Nellis Afb, NV

1952532814

United States Air Force

Organization

4250 Griffiss Ave

Nellis Afb, NV

1881823177

MR. IDMT Jeffrey Lewis Alexander

Individual

4700 Las Vegas Blvd N

Las Vegas, NV

1306175096

Ta'wana L Jones

Individual

1900 Las Vegas Blvd

Las Vegas, NV

1902037344

MRS. IDMT Olekachi Jean Thomas

Individual

5537 Diano Marina Ct

North Las Vegas, NV

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