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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1205502655

Alisha Victoria Clark

Individual

2507 Old Saint Augustine Rd

Tallahassee, FL

1538446018

MR. NREMT Zachary Lennon Bradley

Individual

400 E 9th St Ste 0040

Vha- Emergency Management

Kansas City, MO

1255801049

Jose Edwin Aviles

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1316616691

Dillon Ray Dyar

Individual

301 Fisher St

Biloxi, MS

1124797402

IDMT Hyo Tac Im

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1124797410

IDMT Bob Keophakdy

Individual

204 W Hill Blvd

Charleston, SC

1588333876

Lance Bryan Derosier

Individual

300 N Short St

Fairchild Afb, WA

1396414686

Terry Lorne Riffenburg

Individual

4881 Sugar Maple Dr

Wright Patterson Afb, OH

1114696408

Elizabeth Maria Reyna

Individual

238 Brookley Ave Sw

Bolling Afb, DC

1003585399

Desmond Jacob Marroquin

Individual

2418 Sunflower Ter

Vista, CA

1467121756

MISS Marina Thais Stevens

Individual

1100 Wilford Hall Loop Bldg 4554

Lackland Afb, TX

1689343980

Shawn Regina Mcmahan

Individual

3488 Garden Ave

Jbsa Ft Sam Houston, TX

1568132082

Rhannieboy Mendoza Espiritu

Individual

411 Polifka Dr

Shaw Afb, SC

1811668411

IDHS Justine Nica Moriarty

Individual

650 S Harbor Dr

Grand Haven, MI

1073949681

IDMT Sarah Nicole Thompson

Individual

8497 Rickenbacher Ave

Jber, AK

1942971494

MR. CST Pedro Juan Gonzalez

Individual

9500 Armed Forces Reserve Dr

Orlando, FL

1467629980

MRS. IDHS, NREMT Kristine Joy Macaraeg

Individual

15100 Rescue Way

Clearwater, FL

1396017364

Brandy Noakes

Individual

72nd Amds/sgpf

7050 Air Depot Blvd, Bldg 1094

Tinker Afb, OK

1952063471

Scott Breitler Engler

Individual

1020 N Access Road

San Francisco, CA

1972266245

Cookie Oakley

Individual

49000 Army Guard Road

Jber, AK

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