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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1598232902

IDMT Jozlinn Rae

Individual

3710 N Garry Rd

Otis Orchards, WA

1043787450

Dustin Alford

Individual

4280 E Burnsey Ln

Kingman, AZ

1952878365

IDMT Justin Felix

Individual

4747 W Braddock Rd Apt 3

Alexandria, VA

1861969271

Jose A Sanchez

Individual

15425 Bobwhite Quail

San Antonio, TX

1205303617

Sean Patrick Kearns

Individual

1980 Horal St Apt 1218

San Antonio, TX

1043787468

Zachary B Reynolds

Individual

4691 Petty Ct

Scott Afb, IL

1104393446

IDMT Matthew Gray

Individual

2630 Central Ave

Eielson Afb, AK

1760762751

MS. Sarah Roman Thompson

Individual

6603 Wood Bench

Live Oak, TX

1497084180

MRS. IDMT Nancy M. Chavez-mozingo

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1992276125

IDMT Patrick Ohara

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1356812580

MR. IDMT Joseph Andrew Burrow I

Individual

3551 Roger Brooke Dr

Jbsa Ft Sam Houston, TX

1528539756

IDMT Joe Calvin Durham II

Individual

310 W Losey St

Scott Afb, IL

1255802484

MR. IDMT Killian Aer Viles

Individual

4881 Sugar Maple Dr

Wright Pat, OH

1982175113

IDMT Miguel Antonio Rodriguez JR.

Individual

690 Barnes Blvd

Joint Base Lewis Mcchord, WA

1245701473

IDMT Marc Anthony Marrero

Individual

307 Boatner Rd

Eglin Afb, FL

1972074102

IDMT Alexander Louis Nestor

Individual

221 3rd St W

Randolph Afb, TX

1235600461

IDMT Leeanne Elizabeth Ogle

Individual

1090 Arnold Dr

Little Rock Afb, AR

1588135719

IDMT Alejandro Daniel Perez

Individual

Wilderness Trl & Camp Bullis

San Antonio, TX

1376063859

IDC Daryl Vista Lumagui

Individual

1 Ayres Circle, Bldg. H-1, Pnsy

Portsmouth, NH

1740244664

MR. MSO Angelo Medina Calivoso

Individual

Norfolk Naval Base - Csu East

581 A St Bldg Sp-312 Room 115

Norfolk, 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