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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1447480801

MR. IDMT Louis Ruben Naungayan

Individual

2918 Paradise Hill Ct

North Las Vegas, NV

1235401621

MR. Jeremy Michael Greeley

Individual

5221 Puma Ct

North Las Vegas, NV

1558595785

IDMT, NREMT-P, RN Bradley Allen Olson

Individual

25 Black Wash Way

Henderson, NV

1306104021

IDMT Kayleigh Madison Mcaviney

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1194085472

Brianne Wadtke

Individual

405 Prairie Moon Ave

North Las Vegas, NV

1588914295

Jill S Dowd

Individual

4700 North Las Vegas Blvd

Las Vegas, NV

1043554462

IDMT Ryan Mosiah King

Individual

4700 Las Vegas Blvd N

Las Vegas, NV

1215295936

IDMT Paula Lynn Moungsiharat

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1861835944

MS. IDMT Mariane Tolentino

Individual

2655 E Deer Springs Way

Apt 3118

North Las Vegas, NV

1639503444

Hugo Silva

Individual

4311 Carswell Ave

Bldg 340

Nellis Afb, NV

1598190878

IDMT Jonathan Christian Gomez

Individual

4311 Carswell Ave

Bldg 340

Las Vegas, NV

1780037036

'IDMT' Codie James White

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1417480054

IDMT Daniel Potter

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1033607478

Steven Correa

Individual

4700 Las Vegas Blvd N # 1300

Las Vegas, NV

1427525831

IDMT John Varner

Individual

3832 Prairie Orchid Ave

North Las Vegas, NV

1528604758

MR. NRP, FP-C, SO-ATP Nicholas Brown Dyches

Individual

4700 Las Vegas Blvd N Bldg 1300

Las Vegas, NV

1265078257

Matthew Harrison

Individual

1421 Airport Rd Ste 100

Boulder City, NV

1851931869

Jesse Eduardo Beltran

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1801404397

Madelyn Danielle Golden

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1245837392

Cameron Springer

Individual

4700 Las Vegas Blvd N

Nellis Afb, 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