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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1427529650

MRS. IDMT Riley Ditnoy

Individual

301 N 1st St

Bldg 46

Altus, OK

1992449508

IDMT AIR FORCE Trevor Reef Mosher

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1902369945

Kaylynn Marie Sellers

Individual

18th Medical Group

Unit 5142

Apo, AP

1831833953

MR. SOIDC Jake Matthew Mackinnon

Individual

350 Crag Rd

Panama City Beach, FL

1437749090

Tauna Boatman-cross

Individual

3458 Neely Rd

Joint Base Mdl, NJ

1780982132

Honorata A Fernandez

Individual

Kadena Air Base

Apo, AP

1962638668

Shawn Everett Gelnett

Individual

4700 Las Vegas Blvd N Bldg 1300

Nellis Afb, NV

1790236503

IDMT Mark Friskel

Individual

225 Von Karman Rd

Arnold Afb, TN

1962147207

Hannah Clendening

Individual

Psc 14148

Apo, AE

1639814973

Jeraka Quenga

Individual

194 Missile Avenue

Minot Air Force Base, ND

1962828806

IDMT Lavon Johnson

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1053809491

IDMT James Miller

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1003552324

Timothy James Knapp

Individual

600 Dr Martin Luther King Pl

Louisville, KY

1558611103

Darin Lee Hoki

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1750648879

IDMT/PARAMEDIC Dwinese Marise Aird

Individual

4700 Las Vegas Blvd N

Nellis Afb, NV

1689985897

IDMT Dathan J Spinney

Individual

90 Hope Dr Bldg 6000

Mountain Home Afb, ID

1649865775

Venus Tamara Cruz

Individual

90 Hope Dr

Mountain Home Afb, ID

1043714942

MR. IDMT Seth E Allan

Individual

90 Hope Dr Bldg 6000

Mountain Home Afb, ID

1295472801

Edward Alan Johnson

Individual

3551 Roger Brooke Dr

Fort Sam Houston, TX

1457098063

Elizabeth Guadalupe Chavez

Individual

77 Nealy Ave

Hampton, VA

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