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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1093943870

IDMT Dandy Rae Aaron

Individual

90 Hope Drive Bldg 6000

Mountain Home, ID

1942536024

MR. IDMT Michael Matthew Wixom

Individual

Psc 80 Box 20878

Apo, AP

1407149610

Natasha Vosburgh

Individual

145 4th Ave Apt B4

Shalimar, FL

1316230527

MS. Tamara Alisha Ivy

Individual

138 Washington Ave

Waynesboro, GA

1669765871

MRS. IDMT April Denise Paciotti

Individual

90 Hope Dr

Bld 6000

Mountain Home A F B, ID

1235422205

MR. Jason Randall Brown

Individual

612 Admiral Dr Apt 404

Annapolis, MD

1013200757

MRS. IDMT Leesa M Smith

Individual

10447b Longmire Rd

Fort Lewis, WA

1427341163

Jamilei Michelle Alworden Long

Individual

#6 Sallisaw View Dr

Sallisaw, OK

1861795429

IDMT Trevor Kenneth Stevens

Individual

117 Kansas St

Travis, CA

1447480801

MR. IDMT Louis Ruben Naungayan

Individual

2918 Paradise Hill Ct

North Las Vegas, NV

1043448897

IDMT Samir I. Shahin

Individual

101 Bodin Cir

Travis Afb, CA

1699054288

MR. IDMT Jose Antonio Rodriguez

Individual

1050 W Perimeter Rd

Andrews Afb, MD

1699055616

MRS. Ashley Elizabeth Gross

Individual

605 Leigh Dr Apt F50

Columbus, MS

1639450091

Melissa Garcia

Individual

812 Bunch Ave

Glen Burnie, MD

1043516610

IDMT Charles Delvon Pickett

Individual

7019 N Litchfield Ave

Luke Afb, 56/amds

Luke Afb, AZ

1750662417

MR. IDMT Daryl Bradley

Individual

146 Tulane Dr

Raeford, NC

1295016806

MISS Aundrea F Dyson

Individual

7 Sultan Ave.

Capital Heights, MD

1780967448

IDMT Danielle Lantz

Individual

2200 Bergquist Dr

Suite 1

San Antonio, TX

1942583604

MR. IDMT William Colin Mcbride

Individual

101 Bodin Cir

Travis Afb, CA

1881977312

IDMT Brande Nicole Sims

Individual

605 Harvest Field Way

Fountain, CO

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