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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1760890990

USAF IDMT Melan Davenport

Individual

Unit 14010

Apo, AP

1780172122

IDMT Kathryn Noel Nyunt

Individual

5955 Zeamer Ave

Anchorage, AK

1225526668

IDMT Jon Paul Fitzgerald

Individual

221 3rd St W

Randolph Afb, TX

1215425657

IDMT Jordon L Jeans

Individual

57950 Leavenworth St

Mcconnell Afb, KS

1306334743

IDMT Robert N Dipuppo

Individual

275 S Aspen St Stop 89

Buckley Afb, CO

1033607478

Steven Correa

Individual

4700 Las Vegas Blvd N # 1300

Las Vegas, NV

1760970115

IDMT Alyssa Simon

Individual

3551 Roger Brooke Dr

Fort Sam Houston, TX

1831449537

MISS IDMT Amber R Schumacher

Individual

36th Medical Group/sgoaf

Unit 14010 Bldg 26001

Apo, AP

1710121892

MRS. IDMT Imee Sarmiento Kiser

Individual

36th Mdg

Building 26012 Carolines Avenue

Andersen Afb, GU

1891247425

IDMT Daniel S Reid

Individual

26012 Carolines Ave.

Andersen Afb

Yigo, GU

1073039889

Anthony Zunker

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1164665246

MR. IDMT Joshua Parker

Individual

325 Mdg 340 Magnolia Cir

Tyndall Afb, FL

1629576491

MR. Mario Luis Recupido III

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1528551751

IDMT Ryan D Kainrath

Individual

90 Hope Dr

Mountain Home Afb, ID

1790278927

Drew Bivens

Individual

2800 Winfield Scott Rd

Fort Sam Houston, TX

1154814382

Nicolas Kepa Bell

Individual

2800 Winfield Scott Rd

Fort Sam Houston, TX

1871086009

Jhosselin Pamella Alonzo

Individual

8655 Datapoint Dr Apt 509

San Antonio, TX

1861985095

IDMT Caitlin Elizabeth Noah

Individual

106 Sunset Dr

Cocoa Beach, FL

1689167819

Michelle Reynolds

Individual

14 Beechwood Rd

Hudson, NH

1235622333

IDMT Melanie Edith Rivera

Individual

3600 Roger Brooke Drive

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