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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1336378017

IDMT Kelley Melissa Joyner-haasis

Individual

Building 965 Room 1j01a

Apo, AE

1649409111

IDMT Daniel L Thetford

Individual

Unit 2060

Apo, AP

1184853681

MR. IDMT William Jacob Leyva

Individual

Psc 88

Box 2738

Apo, AE

1356570857

IDMT Robert B Long

Individual

10 Missile Ave

Minot Afb, ND

1831328152

MR. IDMT Thomas Jerrod Ricketson

Individual

2504 S Chicago St

Fairchild Air Force Base, WA

1740419084

MR. IDMT Christopher Clement Rhoney

Individual

1050 W Perimeter Rd

779 Mdg/sgn

Andrews Afb, MD

1093944209

La,valle Boswell

Individual

425 Abs/sg

Unit 6870 Box 14,

Apo, AE

1366671570

MR. IDMT William James Negri

Individual

2050a 2nd St Se

377amds/sgpf

Kirtland Afb, NM

1487883526

IDMT Tiffany Joyce Woods

Individual

101 Bodin Cir

Travis Afb, CA

1730318791

IDMT Mark P Picchione

Individual

310 Worchester Ave

Bldg 45

Hickam Afb, HI

1366671307

IDMT Nikki Holm

Individual

Psc 41 Box 2933

Apo, AE

1134358070

MR. IDMT Bobby York III

Individual

48 Amds/sgpf

Unit 5210 Box 230

Apo, AE

1285863043

IDMT Wayne Dennis Johnson JR.

Individual

2504 S Chicago St

Fairchild Afb, WA

1255560025

IDMT Daniel Nored

Individual

4175 S Alamo Ave

Dm Afb, AZ

1255561973

MRS. IDMT Karolyn A Harris

Individual

105 Grant Cir

Ste 133

Offutt A F B, NE

1689804254

MR. IDMT Ronald Demetric Bagley

Individual

51 Mdos/ Sgoe

Bldg. 777 Unit 2060

Apo, AP

1326282815

MR. IDMT John W Cleaves

Individual

655 7th St

Robins Afb, GA

1750511341

IDMT Carlo Q Padua

Individual

Psc 80

Box 10717

Apo, AP

1609006204

MR. Brian Joseph Carter

Individual

1050 Jabara Avenue

4 Amds/sggf (attn: Msgt B. Carter

Seymour Johnson, NC

1538399068

IDMT Michael Joseph Steiner

Individual

3458 Neely Road

Room 1c15 Attn: Smsgt Steiner

Mcguire Afb, NJ

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