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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1043593221

IDMT Elaine Jimenez

Individual

1811 Mobility Ln

Tampa, FL

1679856850

Terence A Graden

Individual

2200 Bergquist Dr. Suite 1

Wilford Hall

Lackland, Afb, TX

1174803183

MS. Cortney Leona Mullen

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1053554204

IDMT Jillian Marie Beausoleil

Individual

511 N Torch Blvd Rm 102b

Cannon Afb, NM

1851675011

MRS. IDMT Susanne Clariece Fry

Individual

2540 Brady Dr

Colorado Springs, CO

1396029559

MR. IDMT Daniel Sung Oh

Individual

2200 Bergquist Dr Ste 1

Lackland A F B, TX

1780968859

MISS IDMT Lindsey Shanks

Individual

30330 Palomino Dr

Evergreen, CO

1982830055

MR. IDMT Paul Thomas Dunbar

Individual

18 Mdos/sgomi

Kadena Airbase Japan

Apo, AP

1427341494

Mario Antonio Ibarra

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1609186139

IDMT Jeramy Byrd

Individual

9410 A Vermont Court

Clovis, NM

1003109844

MRS. Jerrica Marie Wild

Individual

15301 Warren Shingle Road

Beale Afb, CA

1053688416

IDMT Thomas Garrett Cook

Individual

384 Watts Ave

Hampton, VA

1598032955

IDMT Ann Marie Summerrise

Individual

102 Chippenham Dr Apt H

Yorktown, VA

1619111895

Jacquelene Sheree Cota

Individual

2501 Capehart Rd

Offutt A F B, NE

1043447899

IDMT Stephen Brooks Martin

Individual

4881 Sugar Maple Dr

88 Mdos

Wpafb, OH

1740512409

MR. IDMT Robert R Rose

Individual

18th Medical Group

Unit 5267

Apo, AP

1194969295

Barbara Linde

Individual

4881 Sugar Maple Lane

Wright-patterson Afb, OH

1316174980

IDMT Kenneth Lexington Murry

Individual

4881 Sugar Maple Dr

88 Medical Group/ipts

Wright Pat, OH

1477797942

MR. IDMT/NREMT-P Richard D Hogan JR.

Individual

113 Howie Walters Rd

Hurlburt Field, FL

1295016863

IDMT Adam J Tarbill

Individual

113 Lielmanis Ave

Hurlburt Field, FL

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