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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1639313240

IDMT Raymond J Flaiz

Individual

312 W. Losey Str

375 Mdg/sgopg

Scott Afb, IL

1124262746

MR. IDMT John Craig Bright

Individual

15mdos/sgomf 755 Scott Circle

Hickam Afb, HI

1467696088

IDMT Christopher D. Poole

Individual

8415 Bayshore Blvd

Macdill Afb, FL

1912141557

MR. IDMT Bobby L. Woods

Individual

310 Worchester Ave Bldg 45

Jpac Medical Section

Hickam Afb, HI

1205070877

IDMT Lorretta Denise De Corte

Individual

Psc 2 Box 11719

Apo, AE

1457595936

IDMT Amanda Eitel Ramsey

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1366686842

MR. IDMT Steven Brandon Yates

Individual

208 W Casablanca Ave

Cannon Afb, NM

1639313125

MR. Andrew Springstead

Individual

208 W Casablanca Ave

27somdg

Cannon Afb, NM

1518101039

MR. IDMT Robert M. Wilkins

Individual

Unit 8810 Box 245

Apo, AE

1598909012

IDMT Martin Oleen Jensen

Individual

119 E Arcadia Ave Bldg 622

27 Special Operations Support Sqdn/osm

Cannon Afb, NM

1952545477

MRS. IDMT, PARAMEDIC Heidi Nichole Oberst

Individual

Malvesti Street Bldg. 3-3046

Jsoc Aid Station

Fort Bragg, NC

1295979730

MR. IDMT Darrell Edward Kirby

Individual

124 Chennault Circle

Montgomery, AL

1417191974

IDMT Erik William Rodriguez

Individual

106 Purple Martin Pl

Fayetteville, NC

1194969550

IDMT Charles Wayne Sheffield

Individual

243 Curtiss Rd

Barksdale Afb, LA

1598909970

MR. IDMT Jody Lee Ohmer

Individual

243 Curtiss Rd

Barksdale Afb, LA

1689818064

IDMT Gary Martin

Individual

811 Grier Dr

Las Vegas, NV

1114161593

MR. IDMT James L Wilson JR.

Individual

Psc 37 Box 1437

Apo, AE

1356585830

MR. IDMT Paul C Mccarthy

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1558505941

MRS. Natasha Latryce Walker

Individual

655 7th St

Robins Afb, GA

1245474667

IDMT Daniel Lewis Tyson

Individual

208 W Casablanca Ave

Clovis, NM

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