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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1598909863

IDMT Robert J Lempke

Individual

Psc 41 Box 2168

Apo, AE

1477784312

IDMT Derek Cowen

Individual

505 Rimkus Drive

Scott Air Force Base, IL

1811128754

MR. IDMT Shawn Christopher Moore

Individual

655th 7th Street

Robins Afb, GA

1124253554

MS. Freda Ann Henderson

Individual

4250 Griffiss Ave

Nellis Afb, NV

1952532814

United States Air Force

Organization

4250 Griffiss Ave

Nellis Afb, NV

1417188137

MR. IDMT George James Antolick

Individual

204 W Hill Blvd

Charleston Afb, SC

1639300312

Cameron Modisette

Individual

755 Scott Cir

Hickam Afb, HI

1992936694

MR. Patrick Skiver

Individual

Psc 2 Box 5832

Apo, AE

1972734580

IDMT Michael Stephenson-pino

Individual

3042 Cromwell Ave

Wichita Falls, TX

1922239466

IDMT Monti Cutlip JR.

Individual

204 W Hill Blvd

Charleston, SC

1790916260

MR. IDMT Allen Cornell Richmond

Individual

Psc 41 Box 6506

Apo, AE

1487885968

MR. IDMT Lewis Henry Sutton III

Individual

Unit 3050 Box 130

Apo, AE

1841421252

MR. Almon H. Foster

Individual

2355 Faculty Dr Ste 1n207

U S A F Academy, CO

1265664098

IDMT Joshua A Barr

Individual

501 Lemay Plz N

Montgomery, AL

1245462951

MS. IDMT Rikki Lanetta Waddell

Individual

Psc 4 Box 237

Apo, AP

1689806291

IDMT Jose L Pineiro

Individual

437th Mdg

204 West Hill Blvd

Charleston, SC

1831333996

IDMT Mandy Grimm

Individual

559 Vincent St

Colorado Springs, CO

1720210248

MR. Dewaine Allen Olson JR.

Individual

559 Vincent St

Peterson Afb, CO

1891939781

I.D.M.T Eduardo Eric De Souza

Individual

Bldg 777

Unit 260

Apo, AP

1811129190

IDMT Raymund Rasing

Individual

51 Amds/sgpf

Unit 2060

Apo, AP

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