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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1801024260

IDMT Hilda Imelda Rios

Individual

4175 S Alamo Ave

Tucson, AZ

1033353529

MR. IDMT Reth El

Individual

113 Howie Walters Rd

Hurlburt Field, FL

1154559557

IDMT Lisa Cathleen Richards

Individual

149 Hart St

82 Mdg/mdos

Sheppard Afb, TX

1841428174

MR. Joseph Nunzio Coyle

Individual

5651 Texas Ave.

Fort Dix, NJ

1851529192

IDMT Christopher Thomas Yarbrough

Individual

4625 South Phoenix Street Bldg 4843

Tucson, AZ

1366670614

Lucille Mary Brown

Individual

4175 S Alamo Ave

Davis Monthan Afb

Tucson, AZ

1538397898

MRS. IDMT Nicole Gonzalez

Individual

8415 Bayshore Blvd

Tampa, FL

1841428109

IDMT Claudio Alejandro Castillo

Individual

2504 S Chicago St

Fairchild Afb, WA

1508094897

MR. IDMT Robert Anthony Zamoida

Individual

4575 S. Phoenix St.

Dmafb, AZ

1598993701

IDMT Matthias K Blitz

Individual

Psc 9 Box 741

Apo, AE

1306074513

MR. IDMT Robert Michael Siebenaler

Individual

2504 S Chicago St

Fairchild Afb, WA

1639307853

MR. USAF IDMT John R Howell

Individual

2601 Louis Bauer Dr

Brooks City-base

Brooks City Base, TX

1053549204

MRS. IDMT Amanda Marie Stlaurent

Individual

Psc 41 Box 2143

Apo, AE

1881822948

IDMT Michael C Arena

Individual

4625 South Phoenix Street

Bldg 4843

Tucson, AZ

1609004779

MR. IDMT USAF John Alton Harrison

Individual

104 Windermere Cir

Perry, GA

1730317728

MR. IDMT Nicholas James Graham

Individual

2504 S.chicago St

Fairchild Afb, WA

1134357163

Dejnekki Ayana Peyton

Individual

4250 Griffiss Ave

Nellis Afb, NV

1609004589

IDMT Lashonda M Green Morehead

Individual

435 Th Mdos/sgopf

Unit 3215 Ramstein Ab, Germany

Apo, AE

1497983332

IDMT Christopher Lee Clark

Individual

5179 Malmstrom Ave

Nellis Afb, NV

1194953885

MR. IDMT Joseph Brian Noone

Individual

2504 S Chicago St

Fairchild Afb, WA

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