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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1720221013

MS. IDMT Cristy Jo Preslar

Individual

364 Arthur Drive

Charleston Afb, SC

1992907075

MRS. IDC Clara Yajahira Davis

Individual

590 Washington St

Bath, ME

1497999684

MR. IDMT-P Francisco S Deguzman

Individual

208 W Casablanca Ave Bldg 1400

27 Somdg - Osm

Cannon Afb, NM

1407159056

IDMT Tyler Sean Hamilton

Individual

2050a 2nd St Se

Albuquerque, NM

1457654055

MR. IDMT Benjamin Jacob Lifto

Individual

101 Bodin Cir

Travis Afb, CA

1427351030

Tiffani Mckee

Individual

1090 Arnold Dr

Little Rock Afb, AR

1740583350

IDMT Norma P Grandberry

Individual

1501 Westchester St

Clovis, NM

1275836892

MRS. IDMT Christina Morris

Individual

7202 Bluemist Pt

San Antonio, TX

1235433756

IDMT Esmat Marie Sabbagh

Individual

5020 E Arizola St

Davis Monthan Afb, AZ

1982908398

Christina Q Parker

Individual

149 Hart St

82 Mdos

Sheppard Afb, TX

1114221439

NCMA Stephanie Denise Sulewski

Individual

1063 Uss Tennessee Ave

Avenue Ql 11

Kings Bay, GA

1427368950

IDMT Ryan Werner

Individual

701 Hospital Loop

Fairchild Afb, WA

1669606802

IDMT Angie Cain

Individual

633 Medical Group

77 Neally Ave

Joint Base Langley-eustis, VA

1699918979

IDMT Jenna Danielle Gasper

Individual

15301 Warren Shingle Rd

Beale Afb, CA

1336445089

IDMT Ashley Blackwell

Individual

77 Nealy Ave

Langley Afb, VA

1780980458

IDMT Giacomo Zignago

Individual

6801 Leisure Town Rd Apt 49

Vacaville, CA

1598061269

MR. Marcus L Bell

Individual

126 Missouri Ave

Fort Leonard Wood, MO

1053617464

IDMT Bradley William Snyder

Individual

7224 North 139th Avenue

Glendale, AZ

1972800514

MR. IDMT Derick Lee Tibbetts

Individual

638 S Whittier St

Wichita, KS

1881991420

MR. IDMT James Henry Barnett JR.

Individual

1819 Shade Ave

Florence, AL

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