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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1760969083

IDMT Dylan Preister

Individual

1700 Mosher Dr Apt 214

Enid, OK

1104303320

MR. IDMT Luis Baltazar Baptista

Individual

5955 Zeamer Ave

Jber, AK

1922585140

Heather Ford

Individual

90 Hope Dr

Mountain Home Afb, ID

1629555792

IDMT Christopher R Bowlds

Individual

3477 S Utah St

Arlington, VA

1265919336

MRS. IDMT Ashley Elizabeth Malawey

Individual

3222 Cpl Johnson Road

San Antonio, TX

1083191159

IDMT Chance Daren Riley

Individual

8838 Dugas Dr Apt 2202

San Antonio, TX

1245536994

IDMT Aaron Bradley Smith

Individual

Ehrling Bergquist Clinic

2501 Capehart Rd

Offutt Afb, NE

1811477235

IDMT Alan Thatcher Price

Individual

4175 S Alamo Ave

Tucson, AZ

1760740484

IDMT Rebecca Lee Flores

Individual

60mdg/60 Mdos

101 Bodin Circle

Travis Afb, CA

1558845362

IDMT Walter Buckner

Individual

420 Post Ave

Louisville, TN

1720562531

IDMT Alexander Isaac Benavidez

Individual

77 Nealy Ave

Langley Afb, VA

1912481656

IDMT Colin Michael Mullaly

Individual

5955 Zeamer Ave

Anchorage, AK

1821572561

IDMT Andrew Amadeus De Los Reyes

Individual

271 Fort Richardson Ave Bldg 1001

Goodfellow Afb, TX

1730663477

IDMT Glen Snyder

Individual

3488 Garden Ave Anderson Hall

Fort Sam Houston

San Antonio, TX

1649754383

Devann Elaine Burwell

Individual

3488 Garden Ave

Anderson Hall Mif 4 Fort Sam Houston

San Antonio, TX

1558845297

Scott Ross

Individual

3488 Garden Ave

Anderson Hal M/f-4

San Antonio, TX

1467936104

IDMT Heather Brown

Individual

3488 Garden Ave

Anderson Hall Mif 4

Fort Sam Houston, TX

1639644339

Anton Garcia Hayward

Individual

7300 N Perimeter Rd

Great Falls, MT

1427525831

IDMT John Varner

Individual

3832 Prairie Orchid Ave

North Las Vegas, NV

1144797556

William Murphy Whittle

Individual

2000 Hallum St

Clovis, NM

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