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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1518197078

MISS IDMT Tanya Lane Hatfield

Individual

811 Grier Dr

Suite B

Las Vegas, NV

1366672750

IDMT Dane J Tackitt

Individual

7338 Loncki St

Hill Afb, UT

1679703060

IDMT Paul M Montgomery

Individual

2504 S Chicago St

Fairchild Afb, WA

1477783876

IDMT Gene J Sonnenburg JR.

Individual

2504 S Chicago St

Fairchild Afb, WA

1821228149

MRS. IDMT Michelle K Du Lac

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1457581704

IDMT Jesus Octavio Amador

Individual

2305 Saxony Dr

Mount Laurel, NJ

1881824159

MR. IDMT Omar D Hernandez Solano

Individual

90 Hope Dr Bldg 6000

366 Amds/sgpf

Mountain Home A F B, ID

1548490733

David L Thomas

Individual

1483 Bamboo Ln

Yigo, GU

1942430178

IDMT Joe Cabalhin Dittman

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1447480686

MR. Julian Keith Little

Individual

Mountain Home Afb

90 Hope Dr. Bldg 6000/366 Med Gp/amds/sgpf

Mountain Home, ID

1750511911

Virginia Lola Pettigrew-wheaton

Individual

3976 King Graves Rd

910th Mds (afrc)

Vienna, OH

1255560462

MR. IDMT Jordan Lawrence

Individual

1579 Malmstrom Avenue

Nellis Afb, NV

1043440001

MS. IDMT Tamilynn Reese

Individual

54 Village Dr

Barnegat, NJ

1407086473

MR. IDMT Jeffrie Neil Mayberry

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1306076377

IDMT Jayme L Cline

Individual

4175 S Alamo Ave

Davis Monthan Afb, AZ

1396975363

Derick R Harris

Individual

1321 S Patrick Dr

Patrick Afb, FL

1366672305

IDMT Ryan Alan Foster

Individual

2504 S Chicago St

Fairchild Afb, WA

1023248978

IDMT Andreana Stockey

Individual

420 Abs/sg Bldg 476 Unit 4820

Raf Fairford, UNITED KINGDOM

1932339827

MS. IDMT Patricia L Sills

Individual

204 W Hill Blvd

Charleston Afb, SC

1831329721

IDMT Donald Edgar Trzepacz JR.

Individual

9905 Blewett Ave

Niagara Falls, NY

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