Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 26

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1083857189

MRS. IDMT Jeanne Ann Lewis

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1417190513

IDMT Yamily Cruz Soto

Individual

5700 Arnold St Bldg 5801

Tinker Afb, OK

1578706602

IDMT Brandi Nicole Kelley

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1811131980

MR. IDMT-PARAMEDIC Jackie Glen Whitten JR.

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1508000282

Axelandra Tamar Sang

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1255575577

MR. IDMT Stuart Scott Smith

Individual

5700 Arnold St

Tinker Afb, OK

1770812463

IDMT Yaritza Liriano

Individual

5700 Arnold St

Bldg 5801

Oklahoma City, OK

1194952689

IDMT Irene Williams

Individual

5700 Arnold St Bldg 5801

Tinker Afb

Oklahoma City, OK

1831407006

MR. IDMT James Allan Pickren

Individual

5700 Arnold St

Tinker Afb, OK

1760780118

Andrea R Stobbe

Individual

1301 Linwood St

Weatherford, OK

1699074013

Christopher Lee Endres

Individual

527 Gott Road

Vance Clinic

Vance Afb, OK

1306137328

IDMT Nazish R Naqvi

Individual

4101 Nw Expressway Apt 16096

Oklahoma City, OK

1427341163

Jamilei Michelle Alworden Long

Individual

#6 Sallisaw View Dr

Sallisaw, OK

1023364676

IDMT Cheila Taina Rodriguez

Individual

7156 Nabors Dr Apt C

Tinker Afb, OK

1356685770

IDMT Nedjet Martinez

Individual

5925 Se 66th St

Oklahoma City, OK

1811318751

Bridget Williams

Individual

7050 Air Depot Blvd

Bldg 1094

Tinker Afb, OK

1568720282

IDMT Christopher Grayson Hampton

Individual

7050 Air Depot Blvd

Bldg 1094

Tinker Afb, OK

1932567286

MR. IDMT Michael John-paul Triana

Individual

301 N 1st St

Altus, OK

1265954952

MR. IDMT Mark Gosnell JR.

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1760969083

IDMT Dylan Preister

Individual

1700 Mosher Dr Apt 214

Enid, OK

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