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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1679700850

MR. Rashard Derran Watson

Individual

18th Medical Group

Unit 5142

Apo, AP

1821225913

MR. IDMT Alton E Doe JR.

Individual

2630 Central Ave

Ste 1

Eielson Afb, AK

1255568374

MR. IDMT Anthony S. Patti

Individual

Psc 41 Box 2616

Apo, AE

1225265226

IDMT Victor M Figueroa

Individual

5656 Texas Ave

Fort Dix, NJ

1295962207

MRS. IDMT Patricia Mottram

Individual

7321 Balmer St Bldg 569

Hill Afb, UT

1285861211

IDMT Edward C Medina

Individual

Rr 2 Box 5425

Camp Bullis

San Antonio, TX

1740417641

MR. David Andrew Holman

Individual

559 Vincent St

Colorado Springs, CO

1790912608

MR. IDMT Brian David Cooprider

Individual

2501 Capehart Road

Bellevue, NE

1003043761

I.D.M.T Edward Sean Rodriguez

Individual

101 Bodin Cir

Travis Afb, CA

1790912467

IDMT Sarah Jane Laney

Individual

3458 Neely Road

Mcguire Afb, NJ

1346477031

IDMT David Michael Smith

Individual

22 S Greene St

Baltimore, MD

1760619308

MISS IDMT Leslie A Charles

Individual

51 Mdos/sgopf

Bldg 777 Unit 2060

Apo, AP

1700013380

IDMT Curtis E Clawson

Individual

1 Norad Rd

Suite 1205

Colorado Springs, CO

1528260882

MR. Michael R Anderson

Individual

259 High St

South Portland, ME

1699903146

MS. IDMT Elizabeth L Fauber

Individual

9551 Luke Street

Apo, AP

1104054659

IDMT Ronnie Lee Godbolt

Individual

204 W Hill Blvd

Charleston Afb, SC

1477781953

MR. IDMT Ray J Angel

Individual

7321 Balmer St

Hill Afb, UT

1205064706

IDMT Edward Carthon

Individual

1270 Montevue Ln

Area B

Fort Detrick, MD

1003044637

IDMT Jeremy Jones

Individual

6900 Alden Dr

90 Mdg/mdos

Cheyenne, WY

1255569612

MS. IDMT Janice Renee Faught

Individual

57950 Leavenworth St Bldg 250

Mcconnell Afb, KS

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