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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1912328857

Justin Stinson

Individual

7526 S Clyde Ave

Chicago, IL

1285055129

IDMT Jennifer Trout

Individual

18226 Pioneer Dr

Eagle River, AK

1417378365

IDMT Matthew Moseley

Individual

13601 Welsford

Live Oak, TX

1770836496

IDMT Lawrence Allen Whitmore

Individual

113 Lielmanis Ave

Bldg 91020

Hurlburt Field, FL

1275954125

IDMT D'mario Revere

Individual

4465 George Washington Dr

Scott Afb, IL

1427479815

IDMT Shannon Renee Tedford

Individual

156 Cross Point Dr

Owings, MD

1720401789

IDMT Glenn Wilson

Individual

101 Bodin Cir

Travis Afb, CA

1366865321

IDMT Stephanie Fike

Individual

2804 Winners Circle Dr

Navarre, FL

1184047144

IDMT Austin Puente

Individual

1069 Butler Dr

Edwards, CA

1669708640

MS. IDMT Melissa A Reimer

Individual

691 Barnes Blvd

Mcchord Afb, WA

1891118774

Vianca Mendoza

Individual

17714 W Desert Ln

Surprise, AZ

1831333129

MR. IDMT-P Nathan Michael Leeman

Individual

7321 Balmer St

Bldg 570

Hill Afb, UT

1356767404

IDMT Delilah Byron

Individual

4353 Sandy Springs Dr

Valdosta, GA

1306263108

IDMT Jamal Hogan SR.

Individual

3322 Charles Blvd

108th Crg

Mcguire Afb, NJ

1598182214

IDMT Matthew Wheaton Burns

Individual

105 Colorado St

Travis Afb, CA

1750709317

IDMT Sean Williams

Individual

340 Magnolia Cir

Panama City, FL

1821416215

IDMT Joshua Martinez

Individual

221 3rd St. West

Randolph, TX

1255754214

IDMT Lynor Dicang Hardy

Individual

Cheyenne Mountain Air Station

Colorado Springs, CO

1184868622

IDMT Ramon Oliver

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1811318751

Bridget Williams

Individual

7050 Air Depot Blvd

Bldg 1094

Tinker Afb, OK

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