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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1154633592

Dionna Andrea Johnson

Individual

1011 Candlenut

San Antonio, TX

1720396997

IDMT Justin H Fuhler

Individual

821 Golden Eagle Loop

Canyon Lake, TX

1164722195

IDMT David Ray Mendez

Individual

11010 Geneva Sound

San Antonio, TX

1275836892

MRS. IDMT Christina Morris

Individual

7202 Bluemist Pt

San Antonio, TX

1982908398

Christina Q Parker

Individual

149 Hart St

82 Mdos

Sheppard Afb, TX

1710284211

IDMT Enrique Saucedo III

Individual

10515 Manor Crk

San Antonio, TX

1114161999

MR. IDMT John Wayne Rister

Individual

1220 Truemper St

Bldg 9225, Suite 1, Room 323

Lackland A F B, TX

1780967448

IDMT Danielle Lantz

Individual

2200 Bergquist Dr

Suite 1

San Antonio, TX

1679856850

Terence A Graden

Individual

2200 Bergquist Dr. Suite 1

Wilford Hall

Lackland, Afb, TX

1396029559

MR. IDMT Daniel Sung Oh

Individual

2200 Bergquist Dr Ste 1

Lackland A F B, TX

1609006675

IDMT Bryon Christopher Brightman

Individual

14502 Crystal Ct

Austin, TX

1437415825

MISS IDMT Kylee Suzanne Wright

Individual

10215 Tiger Bay

San Antonio, TX

1699033324

MRS. Ashley Nicole Miller

Individual

714 Antler Post

San Antonio, TX

1114150455

Sara Mccoskey

Individual

697 Lousiann Dr

Dyess Afb Texas

Abilene, TX

1659514941

IDMT Stephanie Andrea Foxx

Individual

697 Louisiana Rd

Dyess Afb, TX

1194069443

MRS. IDMT Leigh Ann Jones

Individual

46 Grey Stone

Poteet, TX

1275879587

Kelyn C Dos Santos

Individual

2200 Bergquist Dr

San Antonio, TX

1194066530

MR. IDMT Michael Wayne Newman JR.

Individual

19703 Lockwood Rd

Manor, TX

1902147341

IDMT Aileen Perry Harms

Individual

716 Sage Dr

Del Rio, TX

1114364759

MR. Charles Aaron Woodward III

Individual

2200 Bergquist Dr

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