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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1255565149

MR. IDMT Clyde Nobles JR.

Individual

375 Mdg

Scott Afb, IL

1982838702

MR. IDMT Edgar Lee Neal

Individual

8409 Werewolf Run

Moody A F B, GA

1972737708

MR. IDMT Paul Adams Bryant

Individual

8409 Werewolf Run

Moody A F B, GA

1477787224

IDMT Christian Michael Chambre

Individual

Psc 17 Box 158

Apo, AE

1285868034

MRS. IDMT Veroncia Rivas Destura

Individual

101 Bodin Cir

60 Mdos

Travis Afb, CA

1053545780

Daniel Pehrson

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1730313479

IDMT Angela Jane Luedke

Individual

Psc 57 Box 226

Apo, AE

1932333945

IDMT Brett Hunter

Individual

100 Independence Dr

Medical Aid Station, Bldg 418

Camp Douglas, WI

1619101375

MR. IDMT Karl Elliott Vanover

Individual

35 Mdg/sgpf

Unit 5041

Apo, AP

1457585127

MR. IDMT Steven Walter Loomis

Individual

752mds

March Arb

Riverside, CA

1316171994

MR. IDMT Jeff J. Sandoval

Individual

19 Amds Sgopf

1090 Arnold Dr

Little Rock Afb, AR

1497989081

MR. IDMT Colby J Bowers

Individual

5656 Texas Ave

Fort Dix, NJ

1750515342

IDMT Meredith Rose Granholm

Individual

701 Hospital Loop

92 Amds/sgpe

Fairchild Afb, WA

1871727487

IDMT Chrystal Cefaratti

Individual

7321 Balmer St Bldg 569

75th Amds/sgpf

Hill Air Force Base, UT

1366676918

MR. IDMT Luis Eduardo Valladares

Individual

Psc 118

Box 483

Apo, AE

1457585929

MRS. IDMT Tanya Anne Jacquez

Individual

Psc 76 Box 8415

Apo, AP

1043444532

MR. IDMT Thomas Gregory Arnold

Individual

Psc 112 Box 153

Apo, AE

1104050624

IDMT Diane Ramirez

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1164656625

MISS IDMT Melissa L Merritt

Individual

31 Mdg/msgs

Apo, AE

1104050657

IDMT Charles Edward Holtz JR.

Individual

1599 J St

Grand Forks Afb, ND

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