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

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1962676791

MS. Stephanie Christine Mock

Individual

8501 Tanner Wms Rd

Mobile, AL

1124089487

Bobbiann Marie Bowman

Individual

1001 Holcolm Rd

Nshs Portsmouth

Fpo, AE

1679732143

HEALTH SERVICES TECH Larry W. Payne

Individual

599 Tomales Rd

Petaluma, CA

1770730707

MR. USAF IDMT Joseph Lee Potts

Individual

485 Quentin Roosevelt Rd

Suite 2

Kelly Usa, TX

1003885427

MR. IDC Ryan Stephen Hildebrand

Individual

Bldg 3005

S R 108

Bridgeport, CA

1972749554

Micheal A Benamon

Individual

301 Andrews Avenue

Lyster Army Health Clinic

Fort Rucker, AL

1982846416

MR. IDMT Michael James Anderson

Individual

110 Luke Ave

Afmsa/sg3p

Bolling Afb, DC

1699918292

MR. IDMT David J. Little

Individual

2200 Bergquist Dr

#1

Lackland A F B, TX

1134362510

IDMT Michele Suzanne Edmond

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1760625164

IDMT Kelly Sligar

Individual

Psc 78 Box 1009

Apo, AP

1396988705

IDMT Mark K Thomas

Individual

501 Lemay Plz N

Maxwell Afb, AL

1205079613

MRS. IDMT Jennifer Lynn Pope

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1912140328

MRS. IDMT Heather Elizabeth Johnson

Individual

307 Boatner Rd

Suite 114

Eglin Afb, FL

1942443338

IDMT Stephanie Nicole Newman

Individual

307 Boatner Rd

Eglin Afb, FL

1154564573

MR. IDMT Darrell Graham Critzer

Individual

501 Lemay Plz N

Maxwell Afb, AL

1285877639

MR. IDMT Michael Marshall Mcadam

Individual

304 Pitsenbarger Blvd

22 Sts/doom

Mcchord Afb, WA

1184867442

IDMT Angela Marie Carter

Individual

1050 Jabarrah Ave

Seymour Johnson A F B, NC

1407099773

IDMT Christopher L Casoria

Individual

Psc 3 Box 3044

Apo, AP

1760625040

IDMT Teresa Rollins

Individual

1050 W Perimeter Rd

Andrews Afb, MD

1104069483

IDMT Jessica Fay Lagerveld

Individual

Psc 80 Box 17309

Apo, AP

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