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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1689800864

IDMT Paul E Bennetts

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1831325018

Shannon J Tyler

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1245466341

MR. IDMT Jose L Obregon

Individual

1618 Truemper St

Lackland A F B, TX

1851527964

IDMT Rustam A Jumani

Individual

35 Mdg

Misawa Ab

Apo, AP

1932335049

MR. IDMT Andre Lamonte Rouzan

Individual

Rr# 2 Box 5425

Camp Bullis

San Antonio, TX

1669608774

IDMT Charles Curtis Ruggles

Individual

105 Grant Cir

Bldg 527, Suite 133

Offutt A F B, NE

1104052216

MR. IDMT Jack Homer Atkins III

Individual

420 Post Ave

Louisville, TN

1255567368

MRS. IDMT Lakesia Shunta' Campbell

Individual

Rr #2 Box 5425

343 Trs/mas

San Antonio, TX

1316173420

IDMT Steven Roan Bradley

Individual

Rr 2 Box 5425

343 Trs/mas Camp Bullis

San Antonio, TX

1407082522

IDMT Claude Alan Russo

Individual

2501 Capehart Rd

Sgopf

Offutt A F B, NE

1881820926

MR. IDMT Theo William Thomas

Individual

Rr# 2 Box 5425 Camp Bullis

San Antonio, TX

1528292992

MS. IDMT Johnetta Bennefield

Individual

3458 Neely Rd

Mcguire, NJ

1861628943

MS. Amy Dawn Swanger

Individual

5955 Zeamer Ave

3 Ipts/sgic

Elmendorf Afb, AK

1316173313

Andrea Darcy Richards

Individual

331 Sijen Ave

Whiteman Afb, MO

1083840037

Don Coughlin

Individual

1618 Truemper St

Lackland A F B, TX

1063648012

IDMT Thomas Nolan Rhodes

Individual

1618 Truemper St

Lackland A F B, TX

1992931802

IDMT Jennifer Guerrero

Individual

Building 5425 Camp Bullis Mas

San Antonio, TX

1962638759

IDMT Charity E Green

Individual

4881 Sugar Maple Dr

Wright Patterson Afb, OH

1679709315

MR. IDMT Kevin R Nies

Individual

4881 Sugar Maple Dr

Wpafb, OH

1922234509

IDMT Gretta A Jamison

Individual

4881 Sugar Maple Dr

Wpafb, OH

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