Taxonomy Code 1710I1003X(1710i1003x)
Independent Duty Medical Technicians. Providers: 11

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Independent Duty Medical Technicians Providers

NPI Name Type Address

1750524955

IDMT Gina Ann Laux

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1104050624

IDMT Diane Ramirez

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1326282138

MRS. IDMT Tara Lynn Dommert-harrison

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1710201553

IDMT Ivan Vicente

Individual

433 Black Elk Ct

Ellsworth Afb, SD

1306118799

IDMT Ellie V Dierkhising

Individual

4526 Candlewood Pl Apt 201

Rapid City, SD

1487012738

Mitchell Harkley

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1275057754

Adrianne Rae Littles

Individual

2900 Doolittle Drive

Ellsworth Afb, SD

1073039889

Anthony Zunker

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1629576491

MR. Mario Luis Recupido III

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1124797402

IDMT Hyo Tac Im

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

1558611103

Darin Lee Hoki

Individual

2900 Doolittle Dr

Ellsworth Afb, SD

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