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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1316531445

Jamely Nieves

Individual

221 3rd St W

Jbsa Randolph, TX

1205421336

Antonio Sixto

Individual

Unit 14010

Fpo, AP

1972939585

Eugene Navarro Tabita

Individual

1090 Arnold Dr

Little Rock Afb, AR

1174045868

Jonathan Rashad Habersham

Individual

Unit 2060

Apo, AP

1225615644

Bradley Edward Hudson

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1649858820

REIKI MASTER & TCM David Wayne Hertzberg

Individual

3617 W El Camino Dr

Phoenix, AZ

1699353870

Biblical Botanicals Llc.

Organization

3617 W El Camino Dr

Phoenix, AZ

1760062749

Jessica Mcdaniel

Individual

340 Magnolia Cir

Tyndall Afb, FL

1578143558

Christopher Michael Babcock

Individual

101 Bodin Cir

Travis Afb, CA

1447830427

IDMT Charles Escobar

Individual

1100 Wilford Hall Loop

San Antonio, TX

1528648508

IDMT Pablo Duran

Individual

7321 Balmer St Bldg 570

Hill Afb, UT

1982284964

Toula Farnsworth

Individual

2630 Central Ave

Eielson Afb, AK

1497335483

Joshua A Sagahon

Individual

Raf Lakenheath

United Kingdom

Brandon, UNITED KINGDOM

1669873394

MR. IDMT Douglas Livingston III

Individual

7050 Air Depot Blvd

Tinker Afb, OK

1770894966

IDMT Kelli E. Vanpelt

Individual

2501 Capehart Rd

Offutt Afb, NE

1518483320

IDMT Jessica Ann Saft

Individual

8497 Rickenbacker Ave

Jber, AK

1861093304

Ryan Garcia

Individual

673d Med Group

Jber, AK

1063851616

IDMT Alina J Shayler

Individual

8497 Rickenbacker Ave

Jb Elmendorf, AK

1902449846

Brandi Krueger-dunn

Individual

4206 Redfern Rd

Parma, OH

1447826714

MR. IDMT Matthew Robert Wilcox

Individual

701 Hospital Loop

Fairchild Afb, WA

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