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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1083857189

MRS. IDMT Jeanne Ann Lewis

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1417190513

IDMT Yamily Cruz Soto

Individual

5700 Arnold St Bldg 5801

Tinker Afb, OK

1396988408

IDMT Brian M Ritchie

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1225271349

MR. IDMT Michael S Hamil

Individual

697 Louisiana Dr.

Dyess, Afb, TX

1578706602

IDMT Brandi Nicole Kelley

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1811131980

MR. IDMT-PARAMEDIC Jackie Glen Whitten JR.

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

1881837953

IDMT Jana Michele Ross

Individual

697 Louisiana Dr

7 Th Amds/sggf

Dyess, TX

1801030903

IDMT Keith Rockins

Individual

383 Maynard St

307a Flight Medicine

Pope Afb, NC

1699919795

IDMT Charles J Ross

Individual

5809 Ivanhoe Ct Apt 18

Fayetteville, NC

1912141011

MR. IDMT George Steven Cum

Individual

811 Grier Dr

Las Vegas, NV

1558505669

Billy Houston Nored

Individual

125 Chennault Cir

Montgomery, AL

1962646075

MRS. IDMT Daphne Roxanne Mcgill

Individual

485 Quentin Roosevelt Rd Ste 2

San Antonio, TX

1407090517

MR. IDMT Robert Louchery

Individual

225 Von Karmon, First Street

Arnold Afb, TN

1891939815

IDMT Heather Jolene Krell

Individual

48 Medical Group

Unit 5210 Box 230

Apo, AE

1730323767

MR. IDMT Christopher M Dwyer

Individual

Psc 41

Box 4315

Apo, AE

1598909533

MR. IDMT Christopher Michael Baldwin

Individual

2601 Louis Bauer Dr

Brooks City Base, TX

1598909541

MR. IDMT Lewis Frederick Scheick

Individual

23 Mdg

Moody A F B, GA

1699919696

MR. IDMT Jason Stone Weiss

Individual

3222 E 35th Ave

Spokane, WA

1942444815

IDMT Erica Marie Jasper

Individual

1050 W Perimeter Rd

Andrews Afb, MD

1114161080

Bryan George Paul

Individual

77 Nealy Avenue

1st Medical Group

Langley Afb, VA

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