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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1033511514

Katryna Ehlinger

Individual

7656 Chablis Circle

Wichita Falls, TX

1437551702

IDMT Jonathan Saplan

Individual

1411 Pelican Way

Suisun City, CA

1689076846

MR. James Easley JR.

Individual

4150 Clement St

San Francisco, CA

1790911378

IDMT Edward H Crowe

Individual

100 Bartley St

Hq Afsoc/sgx

Hurlburt Field, FL

1306103254

IDMT Wanda Mendez

Individual

4558 Hermosa Rd

Crestview, FL

1881905073

IDMT Chun Chung Fong

Individual

3278 Mitchell Blvd Bldg 900

Moody Afb, GA

1689957862

Monique Nicole Toth

Individual

3748 Robin Ln

Valdosta, GA

1922409655

IDMT Franklin Miranda

Individual

55 N Wolfe Ave

Edwards, CA

1033516257

IDMT Corey Lee Czajka

Individual

77 Nealy Ave

Langley Afb, VA

1063646230

MR. IDMT James Michael White

Individual

3278 Mithell Blvd

Bldg. 900

Moody Afb, GA

1194057869

MR. IDMT Paul Jonathan Rex

Individual

2246 Raymond Losano Dr

San Antonio, TX

1689064875

IDMT Merlin Jewell

Individual

331 Sijen Ave

Whiteman Afb, MO

1306236591

IDMT Jordanne Marie Stover

Individual

5955 Zeamer Ave

Jber, AK

1922498096

IDMT Kari Lynn Robinson

Individual

5955 Zeamer Ave

Jber, AK

1508095167

MR. IDMT George Gonzalez JR.

Individual

Psc

Unit 4709

Apo, AE

1649404906

IDMT Matthew James Warters

Individual

52 Amds Sgpf

Spangdahlem Air Base, RHEINLAND PFALZ

1720409675

IDMT Emily Porter

Individual

Psc 17 Box 66

Apo, AE

1548584378

IDMT Brian Caleb Greer

Individual

200 N Douglas St

El Segundo, CA

1699072199

IDMT Daniel Scott Miller

Individual

690 Barnes Blvd

Joint Base Lewis Mcchord, WA

1013302546

IDMT Casey Pritchett

Individual

101 Bodin Cir

Travis Afb, CA

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