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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1881823177

MR. IDMT Jeffrey Lewis Alexander

Individual

4700 Las Vegas Blvd N

Las Vegas, NV

1770819856

Gina Darlin Bolton

Individual

1003 High St

Dover, DE

1497081574

IDMT Lindsay Kate Gregus

Individual

1050 W Perimeter Rd

Sgoic

Andrews Afb, MD

1306172481

IDMT Christopher Edward Franken

Individual

1599 J St

Grand Forks Afb, ND

1881828432

IDMT Chester Allen Wilds

Individual

737 Trss

Lackland Afb, TX

1750618179

IDMT China Cristine Marrie Mills

Individual

374 Msgs/sgcug - Ob/gyn Clinic

Unit 5071 Bldg 4408

Apo, AP

1346471216

MRS. IDMT Laura Luisa Perry

Individual

4881 Sugar Maple Dr

Wright Patterson Afb, Oh

Dayton, OH

1326282138

MRS. IDMT Tara Lynn Dommert-harrison

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1861721557

MRS. IDMT Tara Watamaleo

Individual

626 Chamomile

San Antonio, TX

1770812463

IDMT Yaritza Liriano

Individual

5700 Arnold St

Bldg 5801

Oklahoma City, OK

1689903379

IDMT Joseph Louis Lorden

Individual

319 Holmes Blvd Nw

Ft Walton Bch, FL

1306175096

Ta'wana L Jones

Individual

1900 Las Vegas Blvd

Las Vegas, NV

1942539630

IDMT Seralvin V Burgos

Individual

101 Bodin Cir

Travis Afb, CA

1326377565

IDMT Amber Marie Werner

Individual

9603 N 179th Dr

Waddell, AZ

1790014660

MRS. IDMT Athena Lee Castilleja Ezernack

Individual

407 Barksdale Blvd E

Barksdale Afb, LA

1902037344

MRS. IDMT Olekachi Jean Thomas

Individual

5537 Diano Marina Ct

North Las Vegas, NV

1659514057

MR. IDMT Joey Depositar Torres

Individual

105 Grant Cir

Building 527, Suite 133

Offutt A F B, NE

1194952689

IDMT Irene Williams

Individual

5700 Arnold St Bldg 5801

Tinker Afb

Oklahoma City, OK

1588996243

IDMT Luke William Willis

Individual

1965 Shawnee Dr

Colorado Springs, CO

1285966945

MR. IDMT Daniel Adam Johnson

Individual

8697 S Desert Rainbow Dr

Tucson, AZ

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