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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1851535884

IDMT/NREMT-P Eric James Donovan

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1104069210

MR. IDMT Travis D Pope

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1619111812

IDMT Rafael David Garcia

Individual

113 Lielmanis Ave

Hulrburt Field

Hurlburt Field, FL

1760752752

IDMT Lauren E Prusky

Individual

80 Johnson Ave

Oshkosh, WI

1104060607

IDMT James Andrew Jack

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1902035462

MR. IDMT Marc Marrero

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1932479870

IDMT Deon Denise Madsen

Individual

4880 N Sabino Canyon Rd

#17176

Tucson, AZ

1164792883

Noelia Martinez

Individual

Psc 41

Box 4365

Apo, AE

1417228933

IDMT Seth Lee Stucker

Individual

6732 Ramsgate Road

Chittenango, NY

1770854101

IDMT Troy Edward Long

Individual

8504 Emory Rd Ne

Corryton, TN

1134363344

MR. Ali Rivers

Individual

Psc 80 Box 21915

Apo, AP

1457594525

MR. IDMT-P Thomas Franklin Ward

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1134353303

MR. IDMT Joseph Damian JR.

Individual

225 Bennett Ave

Hurlburt Field, FL

1770712432

IDMT F F Yatco

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1205064144

IDMT Velvet L. Mcalister

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1558597955

MR. IDMT Jason Robert Douville

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1235401621

MR. Jeremy Michael Greeley

Individual

5221 Puma Ct

North Las Vegas, NV

1689946071

IDMT Jason Lantz White

Individual

3280 Mitchell Blvd

Moody A F B, GA

1306118799

IDMT Ellie V Dierkhising

Individual

4526 Candlewood Pl Apt 201

Rapid City, SD

1780956177

IDMT Rolando Smythe

Individual

91 White Ave

Maxwell Afb, 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