| NPI | Name | Type | Address |
|---|---|---|---|
|
Ivette Mariana Brueggemann |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
Jesse Eduardo Beltran |
Individual |
4700 Las Vegas Blvd N Nellis Afb, NV |
|
|
IDMT, USAF Jeremy Carmical |
Individual |
340 Boatner Rd Eglin Afb, FL |
|
|
Richard Culp |
Individual |
48th Medical Group Brandon, SUFFOLK |
|
|
Jonathan James Sparks |
Individual |
113 Lielmanis Ave Hurlburt Field, FL |
|
|
Cori Lea Andrews |
Individual |
559 Vincent St Bldg 959 Colorado Springs, CO |
|
|
Alan Eric Piper |
Individual |
4881 Sugar Maple Dr Dayton, OH |
|
|
IDMT Andrew Lawrence Pierson |
Individual |
101 Bodin Cir Travis Afb, CA |
|
|
IDMT Erricka Smith |
Individual |
3488 Garden Ave Andersen Hall Mif-4 Fort Sam Houston, TX |
|
|
Dylan M Morales |
Individual |
10 Missile Ave Minot Afb, ND |
|
|
Sean Francis Costello |
Individual |
4884 Sugar Maple Dr Wpafb, OH |
|
|
IDMT-P Joshua Gray Compston |
Individual |
4884 Sugar Maple Dr Dayton, OH |
|
|
Albert Joseph Pendleton |
Individual |
204 W Hill Blvd Joint Base Charleston, SC |
|
|
Kelsey Gavin Aldridge |
Individual |
7300 N Perimeter Rd Great Falls, MT |
|
|
William Caleb Flaspoehler |
Individual |
3360 Kami Dr Bowling Green, KY |
|
|
MR. OTHER Emanuel Leroy Lookadoo JR. |
Individual |
340 Boatner Rd Eglin Afb, FL |
|
|
Evan M Dilley |
Individual |
2200 Bergquist Dr Lackland Afb, TX |
|
|
Jesse Recarte |
Individual |
301 Fisher St Biloxi, MS |
|
|
Bradley James Connahey |
Individual |
3278 Mitchell Blvd Moody Afb, GA |
|
|
MRS. IDMT Mary Issitt |
Individual |
David Grant Medical Center 101 Bodin Circle Travis Afb, CA |
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...
| 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 |