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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1366760118

IDMT Jeremy Phillip Rhodus

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1982838793

MR. IDMT Ryan Michael Bauermeister

Individual

1200 Queen Emma St

1905

Honolulu, HI

1184943623

MR. Todd Burbach

Individual

2050a 2nd St Se

Kirtland Afb, NM

1639480809

MS. IDMT Christina Marie Barta

Individual

79 Live Oak Trl

Lakeland, GA

1982915187

MS. IDMT Stacy Coleman

Individual

1002 Sherman Ct

Waldorf, MD

1154632362

IDMT Shella Rittenberry

Individual

1300 N L St Apt 141

Lompoc, CA

1740415280

IDMT Wilbert B Reeves Ii

Individual

225 Bennett Ave

Hurlburt Field, FL

1346552064

MR. DIVE IDC Jeffrey Thomas Gilbert

Individual

3841 Colina Dorado Dr

Apartment G108

San Diego, CA

1730491176

MR. IDMT Travis J Fritz

Individual

712 Osceola Cir

Eglin Afb, FL

1558673996

IDMT James Sky Howell

Individual

9041 Aspen Hollow Pl

Riverview, FL

1346552783

MRS. Bruchell Denise Washington

Individual

4224 Wilshire Dr

Valdosta, GA

1154633592

Dionna Andrea Johnson

Individual

1011 Candlenut

San Antonio, TX

1962714303

MR. Randylle E Sneed

Individual

6254 Taylor Ridge Rd

Montgomery, AL

1124258199

MR. IDMT Joseph-caesar Sung Archangel JR.

Individual

Psc 37 Box 4876

Apo, AE

1851604714

MR. IDMT Dustin C Sandquist

Individual

16187 S Santa Rita Shadows Dr

Vail, AZ

1467683623

IDMT Nichole Reid

Individual

101 Bodin Cir

Travis Afb, CA

1609002286

IDMT Nicole Pukylo Spickerman

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1477879708

MR. IDMT Christopher Gordon Brown

Individual

717 Sandia Dr

Clovis, NM

1952630642

MR. IDMT Michael B Stull

Individual

904 S Dallas Ave Apt 3

Portales, NM

1720058084

Edward Raymond Gallagher II

Individual

1815 Seabee Dr

Phibcb Two

Virginia Beach, VA

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