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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1114556727

MR. Frederick Mario Carr JR.

Individual

307 Boatner Road

Eglin Airforce Base, FL

1346869096

Seth Heying

Individual

55 N Wolfe Ave

Edwards Afb, CA

1821617499

Sebastian Alejandro Cruz

Individual

77 Nealy Blvd

Hampton, VA

1275152852

Kimberley Nichole Wissner

Individual

3250 Zemke Ave

Tampa, FL

1437778016

Mark Alan Underhill

Individual

310 W Losey St

Scott Afb, IL

1598384182

Brian Sanders

Individual

1060 W Perimeter Rd

Jb Andrews, MD

1568081156

Nathaniel Wilkerson

Individual

1381 S Patrick Dr

Patrick Afb, FL

1417576018

Zachory Woodard

Individual

331 Sijen Ave

Whiteman Air Force Base, MO

1225657828

Casey Mulcahy

Individual

2748 N 60th St

Scottsdale, AZ

1972122430

Taylor Austin Thompson

Individual

86th Medical Group

Unit 3215

Apo, AE

1134748692

Patrick James Scollon

Individual

104 W D. L. Ingram Ave, Cannon Afb, Nm 88101

Cannon Afb, NM

1508485087

Nathania A Valdez

Individual

4175 South Alamo Ave

Tucson, AZ

1518586122

MRS. Amanda Nichols

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1578189387

IDMT Eric Dylan Mason

Individual

2630 Central Ave

Eielson Afb, AK

1750907465

IDMT Noah Johnson

Individual

280 1st St Bldg 23

Holloman Afb, NM

1487270195

Juan Rafael Rodriguez

Individual

77 Nealy Ave

Hampton, VA

1104442813

IDMT Michael Anthony Salerno

Individual

4881 Sugar Maple Dr

Wright Patterson Afb, OH

1821614538

IDMT Matthew Hetrick

Individual

1100 Wilford Hall Loop

Jbsa Lackland, TX

1376169086

IDMT Colton Wayne Dickens

Individual

5415 N Foster Rd Apt 8306

San Antonio, TX

1861018178

IDMT John C Gallik

Individual

3176 Corporal Johnson Road

Jbsa Fort Sam Houston, 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