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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1992931570

IDMT Theresa Ann Morgan

Individual

950 Voyager Dr

San Antonio, TX

1902406713

Chelsey Lynch-cay

Individual

4548 Longfellow St

Hyattsville, MD

1992305700

Jason Patrick Scoles

Individual

5607 Hickam Dr

Dayton, OH

1174123988

Jennifer Melissa Garcia

Individual

18th Mdg

Apo, OKINAWA

1083214894

Richard Allen Ypina JR.

Individual

1060 W Perimeter Rd

Jb Andrews, MD

1801496625

Stephen Kreidler

Individual

5453 Roosevelt Loop Ne

Rio Rancho, NM

1629678446

Sakulsak Phoonsawat

Individual

1100 Wilford Hall Loop

San Antonio, TX

1447850268

Ryan Rene Reyes

Individual

1024 Nordale Rd

North Pole, AK

1356941173

Noah Brown

Individual

11487 Williamsport Pike

Greencastle, PA

1346840162

Quartez Ricahrdson

Individual

250 American Way Apt 535

Oxon Hill, MD

1235730771

Alfred Leonard Barrozo Carig

Individual

Lackland Afb

Lackland, TX

1366042178

Whitney Nichole Eckstine

Individual

340 Boatner Rd

Eglin Afb, FL

1538769351

Chelsey Violet Pelkey

Individual

101 Bodin Cir

Travis Afb, CA

1750979852

IDMT Trystan James Self

Individual

559 Vincent St

Colorado Springs, CO

1356939425

Kristi Gouge

Individual

101 Bodin Cir

Travis Afb, CA

1568050649

MRS. IDMT Kayci Serino

Individual

7219 N Litchfield Rd

Glendale, AZ

1275121931

Brendan Cole Larkin

Individual

1515 Truemper St

San Antonio, TX

1336739911

Colton Jack Perkins

Individual

66849 Landstuhl, Germany

Apo, AE

1902496326

IDMT Austin Barrett Shepherd

Individual

2501 Capehart Rd

Bellevue, NE

1346711579

IDMT Jimbell Gray

Individual

325 Mdg, 340 Magnolia Circle

Tyndall Afb, FL

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