| NPI | Name | Type | Address |
|---|---|---|---|
|
Zachary E Lavoy |
Individual |
224 W D.l. Ingram Blvd Cannon Afb, NM |
|
|
Benjamin Andrew Gallentine |
Individual |
224 W D.l. Ingram Blvd Cannon Afb, NM |
|
|
Shauna Jones |
Individual |
3668 W Anthem Way Anthem, AZ |
|
|
IDMT Walter Steven Agudelo |
Individual |
300 Twining St Bldg 760 Maxwell Afb, AL |
|
|
MS. IDMT Rachel Belden Cruz |
Individual |
57950 Leavenworth St Mcconnell Afb, KS |
|
|
IDMT Joshua Gratz |
Individual |
1090 Arnold Dr Little Rock Afb, AR |
|
|
IDMT- PARAMEDIC Derrick Dewayne Sweat |
Individual |
338 S Dakota Ave Lompoc, CA |
|
|
Meghan A Carr |
Individual |
5201 Lee Rd Buzzards Bay, MA |
|
|
Jonah Phillip Justice |
Individual |
6900 Alden Dr Fe Warren Afb, WY |
|
|
IDMT John Cristopher Sunga |
Individual |
E. 9th Street Building Number 421 Kunsan Ab, GUNSAN CITY |
|
|
Kody Whiteside |
Individual |
421 E. 9th Street Apo, AP |
|
|
IDHS Tyler Jaap |
Individual |
2 Aw Willis Ave Memphis, TN |
|
|
MR. IDMT Jason Anthony Evans |
Individual |
104 W D.l. Ingram Ave Cannon Afb, NM |
|
|
IDMT Kay Nolledo |
Individual |
1107 E Hampton Dr Pearland, TX |
|
|
MR. IDMT Matthew Thomas Webb |
Individual |
1738 N Roff Ave Oklahoma City, OK |
|
|
IDMT Anthony Charles Fletes |
Individual |
17455 Airlifter Dr Jber, AK |
|
|
IDMT Jared Campbell |
Individual |
655 7th St Bldg 700-a78 Robins Afb, GA |
|
|
Brielle Penrose |
Individual |
15100 Rescue Way Clearwater, FL |
|
|
Emmett Schuster |
Individual |
2817 Reilly St Fort Bragg, NC |
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...
| 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 |