KATLYN GORGUS
NPI 1174249981
Military Health Care Provider - Independent Duty Medical Technicians in Maxwell Afb, AL

Active since October 13, 2022
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760, MAXWELL AFB, AL 36112(580) 481-7082 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 11, 2024, Oct 13, 2022 (2 updates tracked since 2022).

About Katlyn Gorgus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATLYN GORGUS (NPI 1174249981) is an individual independent duty medical technicians provider in Maxwell Afb, Alabama and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1174249981
Entity TypeIndividualFemale
Primary Taxonomy1710I1003X
Provider Legal NameKATLYN GORGUS
Location Address42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760Maxwell Afb, AL 36112-6027
Mailing Address1425 2nd St NeArab, AL 35016-5411
Sole ProprietorNo
Enumeration DateOctober 13, 2022
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
NPI 1174249981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
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.
42D MEDICAL GROUP, Maxwell Afb, AL 36112

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
42D MEDICAL GROUP, 300 S. TWINING ST. BLDG 760
MAXWELL AFB, AL 36112
Optometrist
42D MEDICAL GROUP, 300 SOUTH TWINING STREET, BLDG 760
MONTGOMERY, AL 36112
Psychologist (Health)
42D MEDICAL GROUP, 300 S. TWINING ST., BLDG 760
MAXWELL AFB, AL 36112
Nurse Practitioner (Family)
42D MEDICAL GROUP, 300 S. TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112
Social Worker (Clinical)
42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760
MAXWELL AFB, AL 36112
Psychologist
42D MEDICAL GROUP, 300 TWINING STREET
MAXWELL AFB, AL 36112
Dentist
42D MEDICAL GROUP, 300 S TWINING ST BLDG 760
MAXWELL AFB, AL 36112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katlyn Gorgus's NPI number?

The NPI number for Katlyn Gorgus is 1174249981. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Katlyn Gorgus located?

Katlyn Gorgus practices at 42D Medical Group 300 S. Twining St., Bldg 760, Maxwell Afb, AL 36112. The listed phone number is (580) 481-7082.

What is Katlyn Gorgus's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Katlyn Gorgus was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.