JON PAUL FITZGERALD IDMT
NPI 1225526668
Military Health Care Provider - Independent Duty Medical Technicians in Randolph Afb, TX

Active since May 01, 2018
221 3RD ST W, RANDOLPH AFB, TX 78150(210) 652-1818 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Medical Technicians

About JON PAUL FITZGERALD

This page provides the complete NPI Profile along with additional information for Jon Paul Fitzgerald, a provider established in Randolph Afb, Texas with a medical specialization in Military Health Care Provider, focusing in independent duty medical technicians . The healthcare provider is registered in the NPI registry with number 1225526668 assigned on May 2018. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1225526668 Verify this NPI
Provider Name
JON PAUL FITZGERALD IDMT
Gender
Male
Entity Type
Individual
Location Address
221 3RD ST W RANDOLPH AFB, TX 78150
Location Phone
(210) 652-1818
Mailing Address
221 3RD ST W RANDOLPH AFB, TX 78150
Is Sole Proprietor?
No
Enumeration Date
05-01-2018
Last Update Date
05-01-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Medical Technicians

Taxonomy Code
1710I1003X
Type
Other Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Dentist (General Practice)
221 3RD ST W
RANDOLPH A F B, TX 78150
Dentist (General Practice)
221 3RD ST W, 12TH MEDICAL GROUP
RANDOLPH A F B, TX 78150
Pediatrics
221 3RD ST W
RANDOLPH A F B, TX 78150
Psychiatry & Neurology (Psychiatry)
221 3RD ST W
RANDOLPH AFB, TX 78150
Physician Assistant (Medical)
221 3RD ST W, 12 MEDICAL GROUP BLDG 1040
RANDOLPH AFB, TX 78150
Clinic/Center (Military/U.S. Coast Guard Outpatient)
221 3RD ST W, BLDG 1040
RANDOLPH A F B, TX 78150
Physician Assistant
221 3RD ST W
RANDOLPH A F B, TX 78150
Preventive Medicine (Aerospace Medicine)
221 3RD ST W
RANDOLPH A F B, TX 78150
Dentist (General Practice)
221 3RD ST W
RANDOLPH A F B, TX 78150
Nurse Practitioner (Family)
221 3RD ST W
RANDOLPH AFB, TX 78150
Physician Assistant
221 3RD ST W, BUILDING 1040
RANDOLPH AFB, TX 78150
Family Medicine
221 3RD ST W, BLDG 1040
RANDOLPH A F B, TX 78150
Optometrist
221 3RD ST W, 359 AMDS/SGPE
JBSA RANDOLPH, TX 78150
Pharmacist
221 3RD ST W, BLDG 1040 RM 1D201
RANDOLPH AFB, TX 78150
Specialist
221 3RD ST W, BLDG 1040
RANDOLPH A F B, TX 78150
Pharmacist
221 3RD ST W, BUILDING 1040
RANDOLPH AIR FORCE BASE, TX 78150
Nurse Practitioner (Pediatrics)
221 3RD ST W
RANDOLPH AFB, TX 78150
Pharmacist (Pharmacotherapy)
221 3RD ST W
JBSA RANDOLPH, TX 78150
Physical Therapist
221 3RD ST W
RANDOLPH AFB, TX 78150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225526668, enumerated as an "individual" on May 01, 2018.

The provider is located at 221 3RD ST W RANDOLPH AFB, TX 78150 and the phone number is (210) 652-1818.

Military Health Care Provider with taxonomy code 1710I1003X and a focus in Independent Duty Medical Technicians.