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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1508406596

Ivette Mariana Brueggemann

Individual

101 Bodin Cir

Travis Afb, CA

1851931869

Jesse Eduardo Beltran

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1669012555

IDMT, USAF Jeremy Carmical

Individual

340 Boatner Rd

Eglin Afb, FL

1740820646

Richard Culp

Individual

48th Medical Group

Brandon, SUFFOLK

1235779034

Jonathan James Sparks

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1316587116

Cori Lea Andrews

Individual

559 Vincent St Bldg 959

Colorado Springs, CO

1730729542

Alan Eric Piper

Individual

4881 Sugar Maple Dr

Dayton, OH

1649810458

IDMT Andrew Lawrence Pierson

Individual

101 Bodin Cir

Travis Afb, CA

1457835191

IDMT Erricka Smith

Individual

3488 Garden Ave

Andersen Hall Mif-4

Fort Sam Houston, TX

1952936825

Dylan M Morales

Individual

10 Missile Ave

Minot Afb, ND

1497380364

Sean Francis Costello

Individual

4884 Sugar Maple Dr

Wpafb, OH

1033744909

IDMT-P Joshua Gray Compston

Individual

4884 Sugar Maple Dr

Dayton, OH

1588299457

Albert Joseph Pendleton

Individual

204 W Hill Blvd

Joint Base Charleston, SC

1659906527

Kelsey Gavin Aldridge

Individual

7300 N Perimeter Rd

Great Falls, MT

1982239869

William Caleb Flaspoehler

Individual

3360 Kami Dr

Bowling Green, KY

1336774215

MR. OTHER Emanuel Leroy Lookadoo JR.

Individual

340 Boatner Rd

Eglin Afb, FL

1063047959

Evan M Dilley

Individual

2200 Bergquist Dr

Lackland Afb, TX

1881229623

Jesse Recarte

Individual

301 Fisher St

Biloxi, MS

1831725381

Bradley James Connahey

Individual

3278 Mitchell Blvd

Moody Afb, GA

1467686543

MRS. IDMT Mary Issitt

Individual

David Grant Medical Center

101 Bodin Circle

Travis Afb, CA

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