Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 41

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1386976041

MR. IDMT Samuel David Farris II

Individual

701 Hospital Loop

Fairchild Afb, WA

1922316199

MRS. IDMT Staci E Ocasio

Individual

1191 Fumi Cir

Kettle Falls, WA

1427368950

IDMT Ryan Werner

Individual

701 Hospital Loop

Fairchild Afb, WA

1417255860

April Lynn Witt

Individual

701 Hospital Loop

Fairchild Afb, WA

1013200757

MRS. IDMT Leesa M Smith

Individual

10447b Longmire Rd

Fort Lewis, WA

1356682702

MRS. Stacie Michelle Hoeger

Individual

7505 N Wall St

Spokane, WA

1205108693

IDMT Samantha Crucet

Individual

701 Hospital Loop

Fairchild Afb, WA

1487926879

IDMT Lafe Hernandez

Individual

701 Hospital Loop

Fairchild Afb, WA

1144657156

IDMT Marc Palmones Villano

Individual

701 Hospital Loop Bldg 9000

Fairchild Afb, WA

1669708640

MS. IDMT Melissa A Reimer

Individual

691 Barnes Blvd

Mcchord Afb, WA

1699072199

IDMT Daniel Scott Miller

Individual

690 Barnes Blvd

Joint Base Lewis Mcchord, WA

1801241476

IDMT Nicholas Forster-curnew

Individual

701 Hospital Loop

Fairchild Afb, WA

1891247706

Air Force

Organization

690 Barnes Blvd

Mcchord Afb, WA

1184166977

IDMT Nathan James Dillow

Individual

701 Hospital Loop

Fairchild Afb, WA

1861916801

IDMT Christopher D Lucio Strayer

Individual

690 Barnes Blvd

Joint Base Lewis Mcchord, WA

1730691148

IDMT Bryce Ferland

Individual

701 Hospital Loop

Fairchild Afb, WA

1598232902

IDMT Jozlinn Rae

Individual

3710 N Garry Rd

Otis Orchards, WA

1982175113

IDMT Miguel Antonio Rodriguez JR.

Individual

690 Barnes Blvd

Joint Base Lewis Mcchord, WA

1598966848

Naval Hospital Bremerton

Organization

2050 Barb St Ste A

Silverdale, WA

1447826714

MR. IDMT Matthew Robert Wilcox

Individual

701 Hospital Loop

Fairchild Afb, WA

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