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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1225305683

Angelica Maria Santana

Individual

10319 Owl Woods

Schertz, TX

1669604757

IDC Andres M Naranjo

Individual

1050 Remount Rd Bldg 3107

North Charleston, SC

1942784442

IDMT Christopher Allen Foster

Individual

300 Tuskegee Blvd

Dover, DE

1801549811

Juan Sebastian Vallejo

Individual

577 Sternberg Ave

Fort Eustis, VA

1588283188

Echo Sims

Individual

86 Mdg

Unit 3215

Apo, AE

1821742156

Noreen Katrina Parungao Marcelo

Individual

525 C St E Apt 210

Universal City, TX

1174889562

MILITARY PROVIDER Leticia Yvonne Brazil

Individual

331 Sijan Ave.

Whiteman Afb, MO

1164178695

Kyler Sawtelle

Individual

655 7th St Bldg 700

Warner Robins, GA

1598411928

IDMT Ryan Brennan

Individual

2864 Woodruff St

Fort Bragg, NC

1376777425

IDMT Jeffrey Michael Tremel

Individual

Unit 3215

Apo, AE

1437806908

Shaerrice D Bryant

Individual

1217 Carey Ave

Akron, OH

1649928409

Norbu Tsering

Individual

8497 Rickenbacker Ave

Jber, AK

1861141848

MRS. Rebekah J Clifford

Individual

7219 N Litchfield Rd

Glendale, AZ

1770232753

IDMT Brody Tanner Ehalt

Individual

101 Bodin Cir

Travis Afb, CA

1770233660

MR. IDMT Isaac Daniel James JR.

Individual

101 Bodin Cir

Travis Afb, CA

1356081277

Emma Louise Poveromo

Individual

Building 99 Misawa Ab

Apo, AP

1619617289

MR. IDMT Kyle Michael Larson

Individual

75th Medical Group

Hill Air Force Base, UT

1427574235

MISS IDMT Marissa Gonzalez

Individual

Unit 5071

Apo, AP

1477065878

Kristen Faith Warner

Individual

Unit 5147

Apo, AP

1538802830

MS. IDMT Kathleen L Lacasse

Individual

300 Tuskegee Blvd

Dover, DE

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