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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1073052965

IDMT Jeffery Mitschke

Individual

149 G W Hart St

Sheppard Afb, TX

1124551767

IDMT Allison Burkett

Individual

1515 Truemper St

San Antonio, TX

1326576521

IDMT Aleksandr Golden Mcpike

Individual

271 Fort Richardson Ave

Goodfellow Afb, TX

1992227680

IDMT Remy Elizabeth Ramos

Individual

10102 Ingram Rd Apt 1103

San Antonio, TX

1063938876

IDMT Brandon Mercer

Individual

2600 Ne Loop 410

Apt 2504

San Antonio, TX

1710403761

IDMT Samuel Wyatt Hensley

Individual

100 Cirrus Cv

Cibolo, TX

1457863862

IDMT Nigel Contaste

Individual

1710 Golden Maple

San Antonio, TX

1740792076

Hunter Tristan Justice Ferguson

Individual

527 I Ave Unit 72

Sheppard Afb, TX

1699278879

MR. Brett Philip Biernbaum

Individual

9313 Centrovista Dr

San Antonio, TX

1598268773

Jessop Bawek

Individual

1100 Wilford Hall Loop

San Antonio, TX

1225526668

IDMT Jon Paul Fitzgerald

Individual

221 3rd St W

Randolph Afb, TX

1760970115

IDMT Alyssa Simon

Individual

3551 Roger Brooke Dr

Fort Sam Houston, TX

1790278927

Drew Bivens

Individual

2800 Winfield Scott Rd

Fort Sam Houston, TX

1154814382

Nicolas Kepa Bell

Individual

2800 Winfield Scott Rd

Fort Sam Houston, TX

1871086009

Jhosselin Pamella Alonzo

Individual

8655 Datapoint Dr Apt 509

San Antonio, TX

1235622333

IDMT Melanie Edith Rivera

Individual

3600 Roger Brooke Drive

San Antonio, TX

1265919336

MRS. IDMT Ashley Elizabeth Malawey

Individual

3222 Cpl Johnson Road

San Antonio, TX

1083191159

IDMT Chance Daren Riley

Individual

8838 Dugas Dr Apt 2202

San Antonio, TX

1821572561

IDMT Andrew Amadeus De Los Reyes

Individual

271 Fort Richardson Ave Bldg 1001

Goodfellow Afb, TX

1730663477

IDMT Glen Snyder

Individual

3488 Garden Ave Anderson Hall

Fort Sam Houston

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