| NPI | Name | Type | Address |
|---|---|---|---|
|
Justin Stinson |
Individual |
7526 S Clyde Ave Chicago, IL |
|
|
IDMT Jennifer Trout |
Individual |
18226 Pioneer Dr Eagle River, AK |
|
|
IDMT Matthew Moseley |
Individual |
13601 Welsford Live Oak, TX |
|
|
IDMT Lawrence Allen Whitmore |
Individual |
113 Lielmanis Ave Bldg 91020 Hurlburt Field, FL |
|
|
IDMT D'mario Revere |
Individual |
4465 George Washington Dr Scott Afb, IL |
|
|
IDMT Shannon Renee Tedford |
Individual |
156 Cross Point Dr Owings, MD |
|
|
IDMT Glenn Wilson |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Stephanie Fike |
Individual |
2804 Winners Circle Dr Navarre, FL |
|
|
IDMT Austin Puente |
Individual |
1069 Butler Dr Edwards, CA |
|
|
MS. IDMT Melissa A Reimer |
Individual |
691 Barnes Blvd Mcchord Afb, WA |
|
|
Vianca Mendoza |
Individual |
17714 W Desert Ln Surprise, AZ |
|
|
MR. IDMT-P Nathan Michael Leeman |
Individual |
7321 Balmer St Bldg 570 Hill Afb, UT |
|
|
IDMT Delilah Byron |
Individual |
4353 Sandy Springs Dr Valdosta, GA |
|
|
IDMT Jamal Hogan SR. |
Individual |
3322 Charles Blvd 108th Crg Mcguire Afb, NJ |
|
|
IDMT Matthew Wheaton Burns |
Individual |
105 Colorado St Travis Afb, CA |
|
|
IDMT Sean Williams |
Individual |
340 Magnolia Cir Panama City, FL |
|
|
IDMT Joshua Martinez |
Individual |
221 3rd St. West Randolph, TX |
|
|
IDMT Lynor Dicang Hardy |
Individual |
Cheyenne Mountain Air Station Colorado Springs, CO |
|
|
IDMT Ramon Oliver |
Individual |
113 Lielmanis Ave Hurlburt Field, FL |
|
|
Bridget Williams |
Individual |
7050 Air Depot Blvd Bldg 1094 Tinker Afb, OK |
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...
| 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 |