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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1215580386

IDMT Ryan Taylor Blalock

Individual

310 W Losey St

Scott Afb, IL

1023661196

Jazzy-mae Nieto

Individual

3250 Zemke Ave

Tampa, FL

1669025730

MR. IDMT Dominic George Patrick Carey

Individual

3551 Roger Brooke Dr

San Antonio, TX

1740833813

IDMT Jonathan Allen

Individual

48 Medical Group

Eriswell, BRANDON

1356994362

Zsane Wrice

Individual

301 Fisher St

Biloxi, MS

1518510528

Jeffrey Alan Utz

Individual

35 Mdg Misawa

Misawa, AOMORI

1336792340

IDMT Liam Connall Noone

Individual

527 Gott Rd

Enid, OK

1235782244

IDMT Daniel Shimanski

Individual

36th Mdos

Bld 26012, Carolines Ave

Andersen Afb, GUAM

1780237792

IDMT Jancarlo Javier Torres-martinez

Individual

4881 Sugar Maple Dr

Wright Pat, OH

1407409428

Jenisha Rae Mermis

Individual

1090 Arnold Dr

Little Rock Afb, AR

1225681117

Kaleb Aaron Specht

Individual

4881 Sugar Maple Dr

Dayton, OH

1285288134

Benjamin Huyck

Individual

22061 Carolines Ave

Andersen Afb, GU

1316592355

Tiffany Nicole Monroe

Individual

6280 Ferguson Dr

Pensacola, FL

1730449018

MS. Sarah Desiree Windsor

Individual

77 Nealy Ave

Langley Afb, VA

1346890894

Crystal June Garcia

Individual

310 W Losey St

Scott Afb, IL

1669022125

MR. IDMT Kevin Eustace

Individual

1 Essex Ln

Old Bridge, NJ

1194375667

MR. Nathan Andrew Lawson

Individual

2336 E Libra Pl

Chandler, AZ

1558911024

Christopher Andersen

Individual

1000 Allison Dr Apt 183

Vacaville, CA

1639729106

MR. IDMT Michael C Etheredge II

Individual

77 Nealy Ave

Langley Afb, VA

1083264550

Brianna Hope Slayback

Individual

57950 Leavenworth St

Mcconnell Afb, KS

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