| NPI | Name | Type | Address |
|---|---|---|---|
|
IDMT Carl Anthony Yambao |
Individual |
101 Bodin Cir Dgmc Er Travis Afb, CA |
|
|
IDMT Stephen Mark Sauer |
Individual |
4881 Sugar Maple Dr Dayton, OH |
|
|
Renee Nichole Snavely |
Individual |
3903a Spaatz Dr Trenton, NJ |
|
|
TECHNICIANS Tiffany Laine Kingsbury |
Individual |
1 Eagle Rd Bldg 1 Alameda, CA |
|
|
MR. IDMT Gary Alan Friedman |
Individual |
3458 Neely Rd Mcguire Afb, NJ |
|
|
IDMT Tonya Rosetta Castellanos |
Individual |
Psc 41 Unit 5210 230 Apo, AE |
|
|
IDMT Angela Marie Alveo-forbes |
Individual |
375 Mamiya St Bldg 2140 Hickam Ab, HI |
|
|
MRS. Amber Lynn Scouton |
Individual |
215 Bolling Dr Goldsboro, NC |
|
|
Kenneth A. Davis |
Individual |
400 Sand Island Pkwy Cgc Kukui (wlb-203) Honolulu, HI |
|
|
Tanisha E Harrison |
Individual |
15301 Warren Shingle Rd Beale Afb, CA |
|
|
IDMT Bobbi Jean Harrington |
Individual |
2504 W Manhattan Dr Wichita, KS |
|
|
IDMT Nedjet Martinez |
Individual |
5925 Se 66th St Oklahoma City, OK |
|
|
IDMT Ryan Mosiah King |
Individual |
4700 Las Vegas Blvd N Las Vegas, NV |
|
|
IDMT Benjamin D. Dellacca |
Individual |
101 Bodin Cir 60 Mdos/sgoe Travis Afb, CA |
|
|
MRS. IDMT Leigh Ann Jones |
Individual |
46 Grey Stone Poteet, TX |
|
|
IDMT Melissa Dawn Goff |
Individual |
310 West. Losey Street Scott Afb, IL |
|
|
IDMT Eduardo F Clemente |
Individual |
3278 Mitchell Blvd Moody A F B, GA |
|
|
MR. IDMT David Layne Frederick JR. |
Individual |
1050 Jabarrah Ave Seymour Johnson A F B, NC |
|
|
MRS. IDMT Maria G Wiest |
Individual |
12222 S 25th Ave Bellevue, NE |
|
|
IDMT Dena Levari |
Individual |
208 W Casablanca Ave Clovis, NM |
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...
| 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 |