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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1497374011

IDMT Austin G Watson

Individual

2050a 2nd St Se

Kirtland Afb, NM

1023771615

USAF IDMT John Thacker II

Individual

655 7th St Unit 700

Robins Afb, GA

1659035525

IDMT Craig Keyes

Individual

1940 Carswell Ave Bldg 7002

Lackland Afb, TX

1568126431

USAF IDMT-PARAMEDIC Joseph Edward Meno III

Individual

556 Vincent St

Peterson Afb, CO

1477217347

James Leon Miller JR.

Individual

Psc 103 Box 5091

Apo, AE

1558025429

IDMT Eric Black

Individual

431 Meadowlark St

Shaw Afb, SC

1467116335

IDMT Sierra Jade Glassburner

Individual

21 Via Rojal

Apo, PN

1790449668

Garrett Michael Theisen

Individual

7300 N Perimeter Rd

Great Falls, MT

1336803949

MR. Chandler Alexander Elian

Individual

Luke Air Force Base

Apo, AA

1912392333

Jennifer Anderson

Individual

7196 B Savannah St

Moody Afb, GA

1104060003

IDMT Venus Venicia Bock

Individual

133 Canyon Vis

Cibolo, TX

1659037091

Joseph William Beck

Individual

Osan Ab

Apo, AP

1184850760

MR. IDMT Jose Victor Nazario

Individual

325 Mdg

340 Magnolia Circle

Tyndall Afb, FL

1205505591

IDMT Sarah Favorite

Individual

4774 Gray Loop Unit D

Anchorage, AK

1013142231

MR. SO IDMT, NR-P Joshua Douglas Stephenson

Individual

3051 Blake Street

Duke Field, FL

1548926223

Heath Worthington

Individual

200 K St Ne Apt 838

Washington, DC

1740947506

MR. Vincent Walker JR.

Individual

5411 N 129th St

Omaha, NE

1053814236

Kirsty Lynn House

Individual

86 Mdg

Unit 3215

Apo, AE

1588244560

Christopher Carr

Individual

340 Magnolia Cir

Tyndall Afb, FL

1619638442

Thomas Langley

Individual

402 N 8th St Unit 34

Eglin 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