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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1467784926

MR. IDMT James Blake Little

Individual

300 Meadow Rd

Goldsboro, NC

1770805731

MR. Scott Edward Sanders

Individual

5178 Westdale Dr

Apt 4

San Jose, CA

1518289115

Renee Jean Cole

Individual

4515 East Juniper Dr Unit A

Usaf Academy, CO

1114240348

MRS. IDMT Jacqueline Marie Clark Ruhf

Individual

4881 Sugar Maple Dr

Wpafb, OH

1518192327

MR. IDMT Terry Lynn Johnson

Individual

Spangdahlem Ab

52 Mdos Unit 3865

Apo, AE

1730322926

IDMT Tamera Jo Hall

Individual

7321 Balmer St Bldg 569

Hill Afb, UT

1568697571

IDMT Michelle Elizabeth Andrus Wills

Individual

Psc 41

Box 6004

Apo, AE

1376867101

MS. IDMT Loretta Ann Scott

Individual

2401 Stanford Rd

Apt. 702

Panama City, FL

1285958017

MR. IDMT Michael Wayne Mcfadden

Individual

2309 Saguaro Loop

Alamogordo, NM

1093039828

IDMT Amy H Heath

Individual

211 Arnold Ave

Ste 15

Klamath Falls, OR

1811211642

IDMT Leasa C Novotny

Individual

271 Sheridan Forest Rd Apt 1200

Goldsboro, NC

1275857005

IDMT Carl Brent Valentine

Individual

4131 Se River Dr

Milwaukie, OR

1710201553

IDMT Ivan Vicente

Individual

433 Black Elk Ct

Ellsworth Afb, SD

1194041426

IDMT Philip Ofimiano Borde JR.

Individual

4660 Mesa Rico Dr

Las Cruces, NM

1003132333

IDMT Jason Alonzo

Individual

13136 El Rio Rd

Victorville, CA

1912223249

IDMT Kenena Danielle Johnson

Individual

3711 Pecan Grove Dr Nw

Huntsville, AL

1548586878

IDMT Paul Robert King

Individual

2190 27th St

Marion, IA

1356667687

IDMT Benjamen E Pennington

Individual

310 Houx Dr

Whiteman Afb, MO

1386976041

MR. IDMT Samuel David Farris II

Individual

701 Hospital Loop

Fairchild Afb, WA

1750516977

IDMT Souk Chanthaboury

Individual

Psc 112

Apo, AE

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