Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 1,299

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1477796753

MR. IDMT Sixto Manuel Vargas

Individual

Psc 80 Box 17226

Apo, AP

1184867467

MR. IDMT Trevor J Correia

Individual

Psc 80 Box 17488

Apo, AP

1538302823

IDMT James Thomas Feldhausen

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1013150390

MR. IDMT Carl Alan Vetter

Individual

4700 Las Vegas Blvd N

99 Mdg/sgne

Nellis Afb, NV

1770726093

MR. IDMT Michael L Klein

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1114160439

MR. IDMT/NREMT-PARAMEDIC Michael Christopher Dougherty

Individual

Psc 37

Box 4813

Apo, AE

1346483500

IDMT Brandy R Williams

Individual

9303 Gilcrease Ave

Unit 1207

Las Vegas, NV

1134362395

MR. IDMT Jerod Lee Taylor

Individual

211 Arnold Ave Ste 15

Klamath Falls, OR

1174766349

IDMT Karl Patrick Day

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1750524955

IDMT Gina Ann Laux

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1760625974

MR. IDMT Dexter Eli Vanderpool

Individual

101 Griffin Way

Eglin Afb, FL

1285877498

MR. IDMT Stephen Jerome White

Individual

374 Msgs/sgne

Unit 5071

Apo, AP

1720221948

MR. IDMT Roberto Ocampo Gutierrez

Individual

Mdos

Unit 5227

Apo, AP

1578706792

MS. IDMT Denise Diane Hyre

Individual

Psc 103 Box 1328

Apo, AE

1932342094

MR. IDMT Daniel Luther Green III

Individual

1 Norad Rd

Colorado Springs, CO

1063655140

MR. IDMT Gregory S. Brooks

Individual

2355 Faculty Dr Suite 1n207

10th Amds

Usafa, CO

1134362213

MR. IDMT Martin F Mckay JR.

Individual

Unit 5041

Apo, AP

1043453129

MRS. IDMT Jessica S Eby

Individual

2501 Capehart Rd

Flight Medicine

Offutt A F B, NE

1033352117

IDMT Victor De Leon

Individual

45 Pine St

Langley Afb, VA

1447493549

Jennfier Rebekah Stokes

Individual

501 Lemay Plz N

Montgomery, AL

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