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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1447606322

IDC Jeffrey Tyler Whitson

Individual

34101 Farenholt Ave

Building 14

San Diego, CA

1518313089

IDMT Mark Wilson

Individual

1101 Grade Ln

123 Special Tactics

Louisville, KY

1528415841

IDMT Kelby Joseph Sage Durnin

Individual

1020 Jabara Avenue

Seymour Johnson Afb, NC

1558714428

IDMT Rodney Bosserman

Individual

4881 Sugar Maple Dr

Wright Patterson Afb, OH

1780037036

'IDMT' Codie James White

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1568605855

MR. IDMT-PARAMEDIC Richard Nick Norland

Individual

309 Chickasaw Cir

Fort Walton Beach, FL

1821541145

IDMT Marcus Quintanilla

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1902350085

MR. IDC Cody Werven

Individual

150 Lestertown Rd

Groton, CT

1770910788

MRS. IDMT Heather Marie Phinney

Individual

3345 Ashlynn Way

Sumter, SC

1609327428

Usaf

Organization

7300 N Perimeter Rd

Great Falls, MT

1265983068

IDMT Yurikoaokio Motomochi Livas

Individual

209 Wilmington Cir

Clovis, NM

1891247706

Air Force

Organization

690 Barnes Blvd

Mcchord Afb, WA

1184166977

IDMT Nathan James Dillow

Individual

701 Hospital Loop

Fairchild Afb, WA

1982147674

IDMT Kelsiann Echavaria

Individual

3458 Neely Rd

Jb Mdl, NJ

1689000291

IDMT Thomas Haney

Individual

381 N Washington Blvd

Apt M304

Ogden, UT

1568909091

IDMT Bailey Holt

Individual

3278 Mitchell Blvd

Moody Afb, GA

1902343858

Isaiah Gary Allison

Individual

1050 Jabara Ave

Seymour Johnson A F B, NC

1679025795

IDMT Claudia Irene Sloan

Individual

1090 Arnold Dr

Jacksonville, AR

1497294359

IDMT Ryan Springer

Individual

Psc 41 Box 2116

Apo, AE

1073052965

IDMT Jeffery Mitschke

Individual

149 G W Hart St

Sheppard Afb, TX

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