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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1467028514

MISS IDMT Ma Sekina Nicasio Sanvictores

Individual

Unit 3215

Apo, AE

1831631787

IDMT Dylan T. Denker

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1144753781

IDMT Danny Joonsang Lim

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1750777421

IDMT Keita M Haas

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1245808831

Collin Douglas Mayer

Individual

Raf Lakenheath, Apo, Ae 09461

Apo, AE

1912560640

IDMT Shyanne Bredman

Individual

Montereale 24

Bldg 121

Aviano, PORDENONE

1942623707

IDMT John Cardona

Individual

1621 Wallingford Lane

Fairfield, CA

1629312988

IDMT Jack Williams

Individual

5955 Zeamer Ave

Jber, AK

1770838948

IDMT Heidi Derade

Individual

5955 Zeamer Ave

Jber, AK

1235637000

Jeffrey Allen Villalpando

Individual

5955 Zeamer Ave

Jber, AK

1114381233

Michael Siedzik

Individual

86 Mdg

Unit 3215

Apo, AE

1154994838

Jessica Rose Dunlop

Individual

3458 Neely Rd

Jb Mdl, NJ

1326611005

Benjamin Schultz

Individual

201 Pinnacle Dr Se Apt 1213

Rio Rancho, NM

1205409984

Jonathon Powell

Individual

7321 Balmer St # 570

Hill Afb, UT

1578136255

MRS. Monica M Medina Lopez

Individual

5122 Staplehurst St

San Antonio, TX

1598438780

Kyle Wayne Barber

Individual

1060 W Perimeter Rd

Jb Andrews, MD

1174166656

IDMT Samuel Mow

Individual

86 Mdg Unit 3215

Apo, AE

1487091062

MRS. IDMT Ashley Renae Smink

Individual

86 Mdg

Unit 3215

Apo, AE

1114489309

IDMT Adele J Dailey-thomas

Individual

1381 S Patrick Dr

Patrick Afb, FL

1861167462

MR. IDMT Victor Antonio Lopez III

Individual

West 9th St 619

Iraan, TX

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