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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1245865120

Zachary E Lavoy

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1578103461

Benjamin Andrew Gallentine

Individual

224 W D.l. Ingram Blvd

Cannon Afb, NM

1730817057

Shauna Jones

Individual

3668 W Anthem Way

Anthem, AZ

1295212413

IDMT Walter Steven Agudelo

Individual

300 Twining St Bldg 760

Maxwell Afb, AL

1235402165

MS. IDMT Rachel Belden Cruz

Individual

57950 Leavenworth St

Mcconnell Afb, KS

1205387081

IDMT Joshua Gratz

Individual

1090 Arnold Dr

Little Rock Afb, AR

1639472236

IDMT- PARAMEDIC Derrick Dewayne Sweat

Individual

338 S Dakota Ave

Lompoc, CA

1659091072

Meghan A Carr

Individual

5201 Lee Rd

Buzzards Bay, MA

1942873625

Jonah Phillip Justice

Individual

6900 Alden Dr

Fe Warren Afb, WY

1114590791

IDMT John Cristopher Sunga

Individual

E. 9th Street Building Number 421

Kunsan Ab, GUNSAN CITY

1689060311

Kody Whiteside

Individual

421 E. 9th Street

Apo, AP

1013638345

IDHS Tyler Jaap

Individual

2 Aw Willis Ave

Memphis, TN

1033452206

MR. IDMT Jason Anthony Evans

Individual

104 W D.l. Ingram Ave

Cannon Afb, NM

1053033951

IDMT Kay Nolledo

Individual

1107 E Hampton Dr

Pearland, TX

1689396582

MR. IDMT Matthew Thomas Webb

Individual

1738 N Roff Ave

Oklahoma City, OK

1205558103

IDMT Anthony Charles Fletes

Individual

17455 Airlifter Dr

Jber, AK

1043804172

IDMT Jared Campbell

Individual

655 7th St Bldg 700-a78

Robins Afb, GA

1508581463

Brielle Penrose

Individual

15100 Rescue Way

Clearwater, FL

1245955715

Emmett Schuster

Individual

2817 Reilly St

Fort Bragg, NC

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