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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1063938876

IDMT Brandon Mercer

Individual

2600 Ne Loop 410

Apt 2504

San Antonio, TX

1710403761

IDMT Samuel Wyatt Hensley

Individual

100 Cirrus Cv

Cibolo, TX

1730606658

IDMT Jeffrey Rodriguez

Individual

975 Carl Cir

Edwards, CA

1912131426

IDMT Jesse Vargas

Individual

101 Bodin Cir

Travis Afb, CA

1821500232

NREMTA Jacob Tyler Weaver

Individual

7320 Canterbury Ct

Liberty Township, OH

1730691148

IDMT Bryce Ferland

Individual

701 Hospital Loop

Fairchild Afb, WA

1558873968

IDMT Giovanni Oddo

Individual

25051 Mawson Dr

Laguna Hills, CA

1376055780

IDMT Brittany Jeanette Pettit

Individual

400 Milmont Ave

Milmont Park, PA

1457863862

IDMT Nigel Contaste

Individual

1710 Golden Maple

San Antonio, TX

1740792076

Hunter Tristan Justice Ferguson

Individual

527 I Ave Unit 72

Sheppard Afb, TX

1992203764

Dylan John Kielcheski

Individual

331 Sijen Ave

Whiteman Afb, MO

1568960342

IDMT Justine R Froude

Individual

57950 Leavenworth St

Mcconnell Afb, KS

1093213878

IDMT Timothy Michael Mcsheehy

Individual

1060 W Perimeter Rd

Jb Andrews, MD

1881197069

IDMT David Joseph Bergstrom

Individual

2293 Frontera St

Navarre, FL

1699278879

MR. Brett Philip Biernbaum

Individual

9313 Centrovista Dr

San Antonio, TX

1598268773

Jessop Bawek

Individual

1100 Wilford Hall Loop

San Antonio, TX

1891125001

MS. IDMT Alexisa M Humphrey

Individual

225 Von Karman Rd

Bldg 225

Arnold Afb, TN

1366964058

IDMT Amy Louise Florkiewicz

Individual

1050 W Perimeter Rd

Jb Andrews, MD

1669608881

IDMT Jeremy Don Astin

Individual

6900 Alden Dr

Fe Warren Afb, WY

1003234667

Lillybeth Muniz Lugo

Individual

340 Magnolia Cir

Tyndall Afb, FL

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