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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1477781045

IDMT Jennifer B Cutlip

Individual

204 W Hill Blvd

Charleston Afb, SC

1316170491

IDMT Jesse A Lopez

Individual

5955 Zeamer Ave

Elmendorf Afb, AK

1285867069

MR. IDMT Carmen Edward Arnoni JR.

Individual

1618 Truemper Ave.

Lackland Afb, TX

1851534184

EMT-B, PHTLS, ACLS, Angelia Deanne Calder

Individual

2630 Central Ave

Eielson Afb, AK

1245473339

MR. IDMT Joseph David Brownell

Individual

2504 S Chicago St

Fairchild Afb, WA

1720212897

IDMT Dana Marie Thompson

Individual

819 Rhs/sg

6944 Goddard Drive

Malmstrom Afb, MT

1336472307

MR. IDMT Robert Wilson III

Individual

655 7th St

Robins Afb, GA

1750614723

MR. IDMT Joan A Sanchez

Individual

1113 Aberdeen Rd

Hampton, VA

1801129887

IDMT Jamie Sampson

Individual

939 Missile Rd Ste 1062

Sheppard Afb, TX

1619200698

IDMT Neil Robert Murray

Individual

101 Bodin Cir

Travis Afb, CA

1528391505

MR. IDMT James Lewis Strawn IV

Individual

301 Fisher St

Emergency Services

Keesler Afb, MS

1073846051

MR. IDMT Brandon C Kahili

Individual

301 Fisher St

Keesler Afb, MS

1366775355

MR. IDMT Douglas Dwight Caldwell II

Individual

150 Fitzgerald Dr

Travis Afb, CA

1649503558

MR. IDMT Damon Edwin Shanks

Individual

5215 Fontaine Ln

Springfield, OH

1639402308

MR. IDMT Stephen Jackson Chambers

Individual

6475 Warrior Way

Building 1948

Hill Afb, UT

1467785790

IDMT David Brian Sowers

Individual

238 Brookley Ave

Bolling Afb, DC

1003140344

IDMT Christopher Shawn Couch

Individual

718 I Ave 82 Mss/dpf

Bldg 1900 Dept Xufb

Sheppard Afb, TX

1174857122

Megan Ann Lynch

Individual

1 Eagle Rd

Alameda, CA

1770818056

MR. IDMT Patrick Christopher Korthuis

Individual

2400 East Dr

Bldg 3650 Rm 135

Scott Afb, IL

1598090490

Kenneth G. Bogner

Individual

5425 Mcwilliams

San Antonio, TX

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