Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 38

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1609857713

DR. M.D. Zenen C Limbo-perez

Individual

700 24th St

Kenner Army Health Clinic

Fort Lee, VA

1306825344

HS Shannon Elizabeth Gaffney

Individual

4000 Coast Guard Blvd

Portsmouth, VA

1174731962

MRS. IDC Kelly D Hoffer

Individual

1084 Pocahontas St

Norfolk, VA

1255548491

IDC Daniel Wayne Vanskyhawk II

Individual

414 Concord Rd

Portsmouth, VA

1760691547

MR. INDEPENDENT DUTY COR Donald Paul Highley JR.

Individual

Uss James E, Williams (ddg 95)

Norfolk, VA

1033352117

IDMT Victor De Leon

Individual

45 Pine St

Langley Afb, VA

1114161080

Bryan George Paul

Individual

77 Nealy Avenue

1st Medical Group

Langley Afb, VA

1538303417

Ronnie Reuben Reyes

Individual

77 Nealy Ave

1st Medical Group

Langley, VA

1396989174

Sherrill L Price

Individual

77 Nealy Avenue

1st Medical Group

Langley Afb, VA

1265676985

MR. IDMT Eric Richard Mccoy

Individual

1st Medical Group

77 Nealy Avenue

Langley Afb, VA

1225263320

MR. IDMT Eddie C Webb

Individual

162 Dodd Blvd

Ste 100

Langley Afb, VA

1932334752

Keiyata K Styerjames

Individual

77 Nealy Ave

1st Medical Group

Langley Afb, VA

1750614723

MR. IDMT Joan A Sanchez

Individual

1113 Aberdeen Rd

Hampton, VA

1720058084

Edward Raymond Gallagher II

Individual

1815 Seabee Dr

Phibcb Two

Virginia Beach, VA

1669606802

IDMT Angie Cain

Individual

633 Medical Group

77 Neally Ave

Joint Base Langley-eustis, VA

1336445089

IDMT Ashley Blackwell

Individual

77 Nealy Ave

Langley Afb, VA

1053688416

IDMT Thomas Garrett Cook

Individual

384 Watts Ave

Hampton, VA

1598032955

IDMT Ann Marie Summerrise

Individual

102 Chippenham Dr Apt H

Yorktown, VA

1790041192

MR. IDMT Ferdinand Nmi Makabata

Individual

1406 Hardy Cash Dr

Hampton, VA

1295074714

MS. IDMT Ashley Nicole Abbott

Individual

77 Nealy Ave

Langley Afb, VA

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