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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1669616082

IDMT Dustin D Bohall

Individual

435th Medical Group

Unit 3215

Apo, AE

1659515070

IDMT David J Billings

Individual

353d Operations Support Squadron

Unit 5247 Box 10

Apo, AP

1831333269

MR. IDMT Scott Richard Piper

Individual

Psc 831

Fpo, AE

1518101864

IDMT Erin Marie Ugowski

Individual

2355 Faculty Dr

U S A F Academy, CO

1003050360

IDMT Victoria M Weiger

Individual

6475 Warrior Way

729 Acs/sg

Hill Afb, UT

1376787903

IDMT Johnathan A Paxton

Individual

West Perimeter Rd Bldg 1050

Malcolm Grow Medical Center

Andrews Afb, MD

1346484805

MRS. IDMT Rachonn Shalette Williamson

Individual

243 Curtiss Rd

St 100 (2amds/sgpf)

Barksdale Afb, LA

1003050311

MISS IDMT Richelle Morey

Individual

Unit 9905 Box 4

Apo, AE

1255575577

MR. IDMT Stuart Scott Smith

Individual

5700 Arnold St

Tinker Afb, OK

1124262365

MR. IDMT David E Kohler-edwards

Individual

1670 E. Perimeter Way

162nd Medical Group/arizona Air National Guard

Tucson, AZ

1649414897

IDMT Kirsten Charel Guy

Individual

665 Seventh St.

Robins Afb, GA

1083858260

MR. IDMT-P John Allen Parish JR.

Individual

352 Oss/ A7m

Unit 8810 Box 245

Apo, AE

1437393618

Edwardson A Aquino

Individual

5497 Langley Way Sw Unit B

Bolling Afb, DC

1407090624

Christopher Soto

Individual

51 Mdg

Unit 2060

Apo, AP

1699919829

IDMT Joshua Luke Roberts

Individual

29 Marble Apex Ave

N Las Vegas, NV

1316171549

MR. I.D.M.T Joshua Karstan Pattee

Individual

701 Hospital Loop

Fairchild Air Force Base, WA

1225262454

MR. IDMT Brian Barton

Individual

701 Hospital Loop

92 Mdos/sgop

Fairchild Afb, WA

1518191758

IDMT Kory Rivera

Individual

101 Bodin Cir

Travis Afb, CA

1649404807

MR. IDMT Kevin Lionel St Patrick Moore

Individual

101 Bodin Cir

Sgpf

Travis Afb, CA

1811121072

MRS. IDMT Erika Christina Craig

Individual

101 Bodin Cir

Travis Afb, CA

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