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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1538303417

Ronnie Reuben Reyes

Individual

77 Nealy Ave

1st Medical Group

Langley, VA

1467696344

MR. IDMT Ray Anthony Vazquez

Individual

35th Medical Group

Unit 5024

Apo, AP

1972747863

IDMT/NREMT-P Barry Alan Frasier

Individual

3-1947 Malvesti Road

Pope Afb, NC

1306080296

MR. IDMT/NREMT-P James Christopher Pennington

Individual

Bldg 1032 Creech Afb

Cafb Medical Aid Station

Indian Springs, NV

1427292226

IDMT Melissa Anne Worley

Individual

Bldg 3531

Kadena Ab Japan

Apo, AP

1760626584

IDMT Casey Lee Burns

Individual

84 Bomber Rd

726th Air Control Squadron

Mountain Home A F B, ID

1336383173

IDMT Kerilyn Shigihara

Individual

2504 S Chicago St

Fairchild Afb, WA

1225272073

IDMT Landru Derek Medvec

Individual

2422 Arctic Ave

Apt D

Eielson Afb, AK

1710121595

IDMT Sheila Ann Shimek Christman

Individual

383 Maynard St

Bldg 307a Flight Medicine

Pope Afb, NC

1164666947

IDMT Stephen Edward Jensen

Individual

Psc 37

Box 245

Apo, AE

1396989174

Sherrill L Price

Individual

77 Nealy Avenue

1st Medical Group

Langley Afb, VA

1376787168

IDMT Enoch Walter Daniels

Individual

7448 Chevron Park Dr

Tampa, FL

1952545642

MR. IDMT Rito Jesus Prieto

Individual

3458 Neely Rd.

Mafb, NJ

1508000225

IDMT Nicole Pennock

Individual

3458 Neely Rd

Mcguire Afb, NJ

1871737593

IDMT Gwen Marie Compton Wear

Individual

3-1947 Malvesti Road

Pope Afb, NC

1265676985

MR. IDMT Eric Richard Mccoy

Individual

1st Medical Group

77 Nealy Avenue

Langley Afb, VA

1518101245

IDMT Dane A. Looman

Individual

84 Bomber Rd

726 Acs/sg

Mountain Home A F B, ID

1184868861

MR. IDMT Christopher Lawson

Individual

8415 Bayshore Blvd

Tampa, FL

1881838563

IDMT James Edwin Dixon

Individual

1 William White Blvd

Pueblo, CO

1508000282

Axelandra Tamar Sang

Individual

5700 Arnold St

Bldg 5801

Tinker Afb, OK

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