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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1386252872

MR. IDMT Joseph John Mieding

Individual

113 Lielmanis Ave

Hurlburt Field, FL

1558004820

EMT, IDMT, BLS, ALS Chandler Austin Breland

Individual

201 Stetson Ln

Alabaster, AL

1316535487

MR. IDMT Samuel Wade Cuidon

Individual

2630 Central Ave # 3349

Eielson Afb, AK

1477971646

IDMT Michael Ball

Individual

101 Bodin Cir

Travis Afb, CA

1629505656

IDMT Ashley Ann Long

Individual

4881 Sugar Maple Dr

Dayton, OH

1356871032

MRS. IDMT Karina Cortes

Individual

204 W Hill Blvd

Charleston Afb, SC

1538681226

IDMT Qynne M Shoemaker

Individual

1008 E Strawbridge Ave

Melbourne, FL

1982120796

IDMT Byron Reed

Individual

3278 Mitchell Blvd

Moody Afb, GA

1245756055

IDMT James B Raper

Individual

307 Boatner Rd

Eglin Afb, FL

1659006880

Justin Sharp

Individual

564 Saddlehorn Way

Cibolo, TX

1508591736

Alesandra Vela

Individual

10b 3rd St W # 826b

Universal City, TX

1902531130

Taylor Blake Little

Individual

1046 Limpkin St

Crestview, FL

1447985684

Thomas Coleman Vice

Individual

6231 Municipal Park Dr

Loxley, AL

1619602851

Madelynn R Johnson

Individual

10521 3b Rd

Plymouth, IN

1124753355

Logan Allen Stangler-castleberry

Individual

354 Royal Oaks Dr

Vacaville, CA

1750016986

Tyler Austin Mattas

Individual

341 N Calle Rinconado

Vail, AZ

1669107892

Amanda Nicole Roth

Individual

703 Majestic Dr

Crestview, FL

1538699418

IDMT Erik M Waldrip

Individual

104 W D. L. Ingram Ave

Cannon Afb, NM

1083369938

Keaton James Rider

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

1205110368

IDMT Brian Russell Balcolm

Individual

57950 Leavenworth St

Mcconnell Afb, KS

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