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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1710284211

IDMT Enrique Saucedo III

Individual

10515 Manor Crk

San Antonio, TX

1427355866

IDMT Andrea Jefferson

Individual

2501 Capehart Rd

Offutt A F B, NE

1396989968

MR. IDMT Luis Alberto Hallman

Individual

3516 Adenmor Ct

Unit B

Clovis, NM

1497067839

MR. IDMT Ray Leroy Schatz III

Individual

511 N Torch Blvd

Cannon Afb, NM

1336445741

IDMT Amber Nicole Doll

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1487898961

USAF IDMT/PARAMEDIC Jason Dean Cox

Individual

Aid Station

Command Surgeon

Fort Bragg, NC

1114161999

MR. IDMT John Wayne Rister

Individual

1220 Truemper St

Bldg 9225, Suite 1, Room 323

Lackland A F B, TX

1326346776

Carla D Morgan

Individual

7964 Promise Creek Rd

Navarre, FL

1144528597

MS. Christine Lou Selby

Individual

11408 Flora Springs Dr

Riverview, FL

1316245764

Anthony Bradford Wilson

Individual

7219 N Litchfield Rd

Glendale, AZ

1760780118

Andrea R Stobbe

Individual

1301 Linwood St

Weatherford, OK

1194959908

MR. IDMT Joseph Paul Keddie

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

1699074013

Christopher Lee Endres

Individual

527 Gott Road

Vance Clinic

Vance Afb, OK

1417255860

April Lynn Witt

Individual

701 Hospital Loop

Fairchild Afb, WA

1982830287

MRS. IDMT Julianne Marie Lujan

Individual

2630 Central Ave

354 Mdos Flight Medicine Clinic

Eielson Afb, AK

1902120736

IDMT Benito Mangrobang Caliboso JR.

Individual

330 San Marino Ave

Vallejo, CA

1326339334

IDMT Brian J Kemp

Individual

5823 Gross Dr

Dayton, OH

1306137328

IDMT Nazish R Naqvi

Individual

4101 Nw Expressway Apt 16096

Oklahoma City, OK

1295026219

IDMT Keoshia S Coleman

Individual

6941 Florence Blvd

Omaha, NE

1942533419

Kristen Anne Lewis

Individual

90 Hope Dr Bldg 6000

Mountain Home A F B, ID

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