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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1982254454

MS. Maxime V Copley

Individual

Flugplatz Bldg 2121

Ramstein-miesenbach, RAMSTEIN

1598315061

Matthew Scott Floores

Individual

7303 S Ute Trl

Austin, TX

1881245967

IDMT Grant M Golombeski

Individual

300 S Twinning Dr.

Apo, AA

1356992457

Emma Jo Ann Marquez

Individual

755 Scott Circle Drive

Honolulu, HI

1679707160

MR. IDMT Timothy J Raso IV

Individual

1060 W Perimeter Rd

Jb Andrews, MD

1750924692

IDMT Michelle Lynn Hernando

Individual

109 Kentucky St

Dyess Afb, TX

1386287225

Teresa Monteon

Individual

101 Bodin Cir

Travis Afb, CA

1003459942

IDMT Summer Ann Felix

Individual

4260 Nelson Hill Pl

Hahira, GA

1912540857

IDMT Ryan David Moore

Individual

Montereale 24

Aviano, PORDENONE

1821631763

Laura Simmons

Individual

204 W Hill Blvd

Charleston, SC

1376186213

IDMT, USAF Kayle Elizabeth Southerland

Individual

307 Boatner Rd

Eglin Afb, FL

1093358939

IDMT Kyle Luis Munoz Valdes

Individual

135 Aupaka St

Honolulu, HI

1811530751

Chelsea Allaire Barrow

Individual

33498 Jocko Rd

Arlee, MT

1457994394

IDMT Nathaniel Clay Hollandsworth

Individual

517 Harrison Dr

Hurlburt Field, FL

1205472693

SOIDC Kevin Edward Murphy

Individual

Rr612 Everett Creek Road

Camp Lejeune, NC

1528604758

MR. NRP, FP-C, SO-ATP Nicholas Brown Dyches

Individual

4700 Las Vegas Blvd N Bldg 1300

Las Vegas, NV

1265078257

Matthew Harrison

Individual

1421 Airport Rd Ste 100

Boulder City, NV

1548810013

Alexander Jeffrey Lawson

Individual

697 Louisiana Rd

Dyess Afb, TX

1720628704

Hisham Haddad

Individual

Unit 5210

Apo, AE

1891335881

Lidya Paola Galvan Reyes

Individual

7300 N Perimeter Rd

Great Falls, MT

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