Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 17

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1003050360

IDMT Victoria M Weiger

Individual

6475 Warrior Way

729 Acs/sg

Hill Afb, UT

1851525026

MR. IDMT Thomas Glennon Moore

Individual

6475 Warrior Way

Bldg. 1938

Hill Afb, UT

1568696599

MRS. IDMT Deborah Ann Ciesla

Individual

7985 Browning St Bldg 1781

Hill Afb, UT

1871727487

IDMT Chrystal Cefaratti

Individual

7321 Balmer St Bldg 569

75th Amds/sgpf

Hill Air Force Base, UT

1295962207

MRS. IDMT Patricia Mottram

Individual

7321 Balmer St Bldg 569

Hill Afb, UT

1477781953

MR. IDMT Ray J Angel

Individual

7321 Balmer St

Hill Afb, UT

1366672750

IDMT Dane J Tackitt

Individual

7338 Loncki St

Hill Afb, UT

1639402308

MR. IDMT Stephen Jackson Chambers

Individual

6475 Warrior Way

Building 1948

Hill Afb, UT

1730322926

IDMT Tamera Jo Hall

Individual

7321 Balmer St Bldg 569

Hill Afb, UT

1427322353

MR. IDMT Jeffrey C Guerttman

Individual

4067 Roxbury Cir Apt B

Hill Afb, UT

1831333129

MR. IDMT-P Nathan Michael Leeman

Individual

7321 Balmer St

Bldg 570

Hill Afb, UT

1235513540

IDMT Joshua David Stumpf

Individual

570 Balmer Street

Hill Afb, UT

1003278300

IDMT Amanda N Fawson

Individual

2155 Grant Ave

Apt 241

Ogden, UT

1689000291

IDMT Thomas Haney

Individual

381 N Washington Blvd

Apt M304

Ogden, UT

1528648508

IDMT Pablo Duran

Individual

7321 Balmer St Bldg 570

Hill Afb, UT

1205409984

Jonathon Powell

Individual

7321 Balmer St # 570

Hill Afb, UT

1619617289

MR. IDMT Kyle Michael Larson

Individual

75th Medical Group

Hill Air Force Base, UT

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