Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 27

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1376588491

IDC Rodney Owen

Individual

1 Pinckney Blvd

Beaufort, SC

1205061306

MR. IDMT Dennis Preston Hooten II

Individual

431 Meadowlark St

Shaw A F B, SC

1407081409

IDMT Darrell Mayers

Individual

431 Meadowlark St

Shaw A F B, SC

1861627820

IDMT William Patterson

Individual

431 Meadowlark St

Shaw A F B, SC

1396970117

MRS. IDMT Jennifer N Steele

Individual

411 Meadowlark St

Shaw A F B, SC

1467687103

MRS. IDMT Heather Nicole Eid

Individual

5554 Whisperwood Dr

Dalzell, SC

1023243680

MR. IDMT Robert Joseph Currier JR.

Individual

431 Meadowlark St

Shaw A F B, SC

1104054659

IDMT Ronnie Lee Godbolt

Individual

204 W Hill Blvd

Charleston Afb, SC

1932339827

MS. IDMT Patricia L Sills

Individual

204 W Hill Blvd

Charleston Afb, SC

1417188137

MR. IDMT George James Antolick

Individual

204 W Hill Blvd

Charleston Afb, SC

1922239466

IDMT Monti Cutlip JR.

Individual

204 W Hill Blvd

Charleston, SC

1689806291

IDMT Jose L Pineiro

Individual

437th Mdg

204 West Hill Blvd

Charleston, SC

1477781045

IDMT Jennifer B Cutlip

Individual

204 W Hill Blvd

Charleston Afb, SC

1720221013

MS. IDMT Cristy Jo Preslar

Individual

364 Arthur Drive

Charleston Afb, SC

1023380417

IDMT John Becker

Individual

134 Patriot Ln

Summerville, SC

1720337462

IDMT Scott B Wyatt

Individual

431 Meadowlark St

Shaw Afb, SC

1285068296

IDMT Sidonia Lee Alo

Individual

431 Meadowlark St

Shaw Afb, SC

1114261526

IDMT Brett Randall

Individual

204 W Hill Blvd

Charleston Afb, SC

1205294550

IDMT Brandon Stoker

Individual

204 W Hill Blvd

Charleston, SC

1770910788

MRS. IDMT Heather Marie Phinney

Individual

3345 Ashlynn Way

Sumter, SC

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