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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1255567368

MRS. IDMT Lakesia Shunta' Campbell

Individual

Rr #2 Box 5425

343 Trs/mas

San Antonio, TX

1316173420

IDMT Steven Roan Bradley

Individual

Rr 2 Box 5425

343 Trs/mas Camp Bullis

San Antonio, TX

1881820926

MR. IDMT Theo William Thomas

Individual

Rr# 2 Box 5425 Camp Bullis

San Antonio, TX

1083840037

Don Coughlin

Individual

1618 Truemper St

Lackland A F B, TX

1063648012

IDMT Thomas Nolan Rhodes

Individual

1618 Truemper St

Lackland A F B, TX

1992931802

IDMT Jennifer Guerrero

Individual

Building 5425 Camp Bullis Mas

San Antonio, TX

1124255583

MR. IDMT Danny Lee Dennis JR.

Individual

939 Missile Road Bld 1900

Wichita Falls, TX

1205063666

IDMT Rina Lynn Callaway

Individual

737 Trg

Lackland Afb, TX

1992932396

MRS. IDMT Tina Marie Harris

Individual

5608 Greentree Ave

Wichita Falls, TX

1740417013

IDMT Steven J Lester

Individual

2200 Bergquist Dr

Suite 1

Lackland A F B, TX

1285861211

IDMT Edward C Medina

Individual

Rr 2 Box 5425

Camp Bullis

San Antonio, TX

1154559557

IDMT Lisa Cathleen Richards

Individual

149 Hart St

82 Mdg/mdos

Sheppard Afb, TX

1639307853

MR. USAF IDMT John R Howell

Individual

2601 Louis Bauer Dr

Brooks City-base

Brooks City Base, TX

1972734580

IDMT Michael Stephenson-pino

Individual

3042 Cromwell Ave

Wichita Falls, TX

1285867069

MR. IDMT Carmen Edward Arnoni JR.

Individual

1618 Truemper Ave.

Lackland Afb, TX

1801129887

IDMT Jamie Sampson

Individual

939 Missile Rd Ste 1062

Sheppard Afb, TX

1003140344

IDMT Christopher Shawn Couch

Individual

718 I Ave 82 Mss/dpf

Bldg 1900 Dept Xufb

Sheppard Afb, TX

1598090490

Kenneth G. Bogner

Individual

5425 Mcwilliams

San Antonio, TX

1881828432

IDMT Chester Allen Wilds

Individual

737 Trss

Lackland Afb, TX

1861721557

MRS. IDMT Tara Watamaleo

Individual

626 Chamomile

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