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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1437756574

IDMT Clarence Michael Sullivan

Individual

3551 Roger Brooke Dr

Fort Sam Houston, TX

1790382844

Kyle Schachsieck

Individual

2800 Winfield Scott Rd Ste 347

Fort Sam Houston, TX

1184221244

MR. IDMT Robert Michael Desantis

Individual

1940 Carswell Ave Bldg 7002

San Antonio, TX

1407453145

Ian Frogley

Individual

Jbsa 2230 Hughes Ave

San Antonio, TX

1992931570

IDMT Theresa Ann Morgan

Individual

950 Voyager Dr

San Antonio, TX

1629678446

Sakulsak Phoonsawat

Individual

1100 Wilford Hall Loop

San Antonio, TX

1235730771

Alfred Leonard Barrozo Carig

Individual

Lackland Afb

Lackland, TX

1275121931

Brendan Cole Larkin

Individual

1515 Truemper St

San Antonio, TX

1316531445

Jamely Nieves

Individual

221 3rd St W

Jbsa Randolph, TX

1447830427

IDMT Charles Escobar

Individual

1100 Wilford Hall Loop

San Antonio, TX

1578136255

MRS. Monica M Medina Lopez

Individual

5122 Staplehurst St

San Antonio, TX

1861167462

MR. IDMT Victor Antonio Lopez III

Individual

West 9th St 619

Iraan, TX

1467121756

MISS Marina Thais Stevens

Individual

1100 Wilford Hall Loop Bldg 4554

Lackland Afb, TX

1689343980

Shawn Regina Mcmahan

Individual

3488 Garden Ave

Jbsa Ft Sam Houston, TX

1659035525

IDMT Craig Keyes

Individual

1940 Carswell Ave Bldg 7002

Lackland Afb, TX

1104060003

IDMT Venus Venicia Bock

Individual

133 Canyon Vis

Cibolo, TX

1225305683

Angelica Maria Santana

Individual

10319 Owl Woods

Schertz, TX

1821742156

Noreen Katrina Parungao Marcelo

Individual

525 C St E Apt 210

Universal City, TX

1295472801

Edward Alan Johnson

Individual

3551 Roger Brooke Dr

Fort Sam Houston, TX

1659006880

Justin Sharp

Individual

564 Saddlehorn Way

Cibolo, 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