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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1558700104

IDMT Tadd Olin Knox Ragsdale

Individual

3062 Troutman Dr

Beale Afb, CA

1558700971

MR. IDMT Billy Ray Fields JR.

Individual

6501 Us 23 South

Ossineke, MI

1457790875

IDMT Caige Carter Chapman

Individual

1935 Jo Tam Lane

Navarre, FL

1588004675

Andrew Campbell

Individual

Usameddac Bavaria

Cmr 411, Bldg 700, Rose Barracks

Apo, AE

1568803450

IDMT Jenna Elizabeth Davila

Individual

293 Avondale Ln

Bossier City, LA

1912348806

IDMT Raymond Dela Calzada

Individual

1300 S Farmview Dr Apt K14

Dover, DE

1821439712

IDMT Eric John Muelhausen

Individual

6151 Evergreen Pkwy

Crestview, FL

1730520628

IDMT Sarah Mitchell

Individual

753 Clay Loop

San Antonio, TX

1790126225

IDMT Richard A Reid

Individual

16015 Good Meadow Ct

N Potomac, MD

1962774356

IDMT Logan A Latimer

Individual

1050 Jabarrah Ave

Flight Medicine Clinic

Seymour Johnson A F B, NC

1093949091

IDMT Aimee Lynn Arendes

Individual

149 Hart St Bldg 1200

Sheppard Afb, TX

1740613397

IDMT Brooke Elizabeth Prine

Individual

57950 Leavenworth St

Mcconnell Afb, KS

1104259522

HS Antoine Lamont Smith SR.

Individual

1260 Shotgun Rd

Chesapeake, VA

1932431699

IDMT Ashley Jossendal Swink

Individual

1 William White Blvd

Pueblo, CO

1285068296

IDMT Sidonia Lee Alo

Individual

431 Meadowlark St

Shaw Afb, SC

1639503444

Hugo Silva

Individual

4311 Carswell Ave

Bldg 340

Nellis Afb, NV

1598190878

IDMT Jonathan Christian Gomez

Individual

4311 Carswell Ave

Bldg 340

Las Vegas, NV

1225464837

IDMT Stephen Mitchell Harris

Individual

49 Spruce St

Pcs Box 1000

Langley Afb, VA

1952737561

IDMT Aaron Vlasek

Individual

1200 Avenue B

Apt 911

San Antonio, TX

1679909287

MRS. IDMT Nicole Malia Rosaline Wainwright

Individual

1103 Sundance Hunt

San Antonio, TX

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