Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 142

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1417142431

MR. IDC Raymond Pampolina Manahan

Individual

905 La Mirada

Portland, TX

1770730707

MR. USAF IDMT Joseph Lee Potts

Individual

485 Quentin Roosevelt Rd

Suite 2

Kelly Usa, TX

1699918292

MR. IDMT David J. Little

Individual

2200 Bergquist Dr

#1

Lackland A F B, TX

1225271349

MR. IDMT Michael S Hamil

Individual

697 Louisiana Dr.

Dyess, Afb, TX

1881837953

IDMT Jana Michele Ross

Individual

697 Louisiana Dr

7 Th Amds/sggf

Dyess, TX

1962646075

MRS. IDMT Daphne Roxanne Mcgill

Individual

485 Quentin Roosevelt Rd Ste 2

San Antonio, TX

1598909533

MR. IDMT Christopher Michael Baldwin

Individual

2601 Louis Bauer Dr

Brooks City Base, TX

1154555225

IDMT Claude Lyman Weidow

Individual

939 Missile Rd

Ste 3

Sheppard Afb, TX

1972737971

MR. IDMT Ian E Coon

Individual

1618 Truemper St

Lackland A F B, TX

1245464502

IDMT Darinda Lee Whitefield

Individual

1618 Truemper St

Lackland A F B, TX

1508091851

IDMT Kathleen Ann May

Individual

1618 Truemper St

Lackland A F B, TX

1164657250

IDMT Daniel Openshaw

Individual

697 Louisiana Dr

Dyess Afb, TX

1588899520

MRS. IDMT Danielle Christine Alexander Gilman

Individual

697 Louisiana Drive

Dyess Afb

Abilene, TX

1447485149

IDMT Joseph William Runyan

Individual

1618 Truemper St

Lackland A F B, TX

1043446396

MRS. IDMT Monica Theresa Suter

Individual

1618 Truemper St

Lackland A F B, TX

1578799706

IDMT Herbert Lee Andrews II

Individual

1618 Truemper St

Lackland A F B, TX

1063648210

MRS. IDMT Bernadette Ann Vanness

Individual

1618 Truemper St

Lackland A F B, TX

1487880639

IDMT Tracy Badua

Individual

2506 Biggs St

37 Mdg/sghi

San Antonio, TX

1245466341

MR. IDMT Jose L Obregon

Individual

1618 Truemper St

Lackland A F B, TX

1932335049

MR. IDMT Andre Lamonte Rouzan

Individual

Rr# 2 Box 5425

Camp Bullis

San Antonio, TX

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