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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1144455023

IDMT Sean H Bennett

Individual

739 North Fork Highway

Grant County Health Department

Petersburg, WV

1114150455

Sara Mccoskey

Individual

697 Lousiann Dr

Dyess Afb Texas

Abilene, TX

1194085472

Brianne Wadtke

Individual

405 Prairie Moon Ave

North Las Vegas, NV

1003176389

MR. Ricky Franco Vela

Individual

8101a W Sandia Cir Se

Albuquerque, NM

1821358102

MR. Ngu Quang Do

Individual

407 Campbell St

Prescott, AZ

1851646020

MS. Kshena Fuentes

Individual

210 Canal Cir

Lumberton, NJ

1679828842

MR. IDMT Lakedrian Guy

Individual

980 Courthouse Rd Apt 1521

Gulfport, MS

1467707638

IDMT Jennifer Denise Mathis

Individual

913 Claeven Cir

Fort Walton Beach, FL

1306072103

Jennifer A Kilroy

Individual

4881 Sugar Maple Dr

Wpafb, OH

1043566698

IDMT Mikka Slater

Individual

1503 University Ave

Monroe, LA

1497001044

IDMT Paul K Vought

Individual

9223 Rainbow Springs Ct Apt 5

Louisville, KY

1679829220

IDMT Ryan Thomas Rubino

Individual

12102 Larson Cir

Bellevue, NE

1023364676

IDMT Cheila Taina Rodriguez

Individual

7156 Nabors Dr Apt C

Tinker Afb, OK

1730313602

Brian W Signal

Individual

243 Cutiss Rd

2 Mdg

Barksdale Afb, LA

1346597994

IDMT Terrence Asher Kneapler

Individual

125 Adams Ave

Browns Mills, NJ

1659514941

IDMT Stephanie Andrea Foxx

Individual

697 Louisiana Rd

Dyess Afb, TX

1588914295

Jill S Dowd

Individual

4700 North Las Vegas Blvd

Las Vegas, NV

1659621373

IDMT Carl D Engelke

Individual

7484 Holworthy Way

Apt 139

Sacramento, CA

1336499938

IDMT Cody Wayne Bohlke

Individual

1009 Briarwood Ct

Great Falls, MT

1831449180

MR. Ronald John Borgstrom II

Individual

15053 W Mulberry Dr

Goodyear, AZ

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