JOHNATHAN A PAXTON IDMT
NPI 1376787903
Military Health Care Provider - Independent Duty Medical Technicians in Andrews Afb, MD

Active since April 27, 2009
WEST PERIMETER RD BLDG 1050, MALCOLM GROW MEDICAL CENTER, ANDREWS AFB, MD 20762(240) 857-8529 Get Directions Write a Review

NPPES record last updated: April 30, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

About JOHNATHAN PAXTON

This page provides the complete NPI Profile along with additional information for Johnathan Paxton, a provider established in Andrews Afb, Maryland 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 1376787903 assigned on April 2009. The practitioner's primary taxonomy code is 1710I1003X. The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1376787903 Verify this NPI
Provider Name
JOHNATHAN A PAXTON IDMT
Gender
Male
Entity Type
Individual
Location Address
WEST PERIMETER RD BLDG 1050 MALCOLM GROW MEDICAL CENTER ANDREWS AFB, MD 20762
Location Phone
(240) 857-8529
Mailing Address
2709 BISMARK ST WALDORF, MD 20603
Mailing Phone
(240) 691-6687
Is Sole Proprietor?
No
Enumeration Date
04-27-2009
Last Update Date
04-30-2009
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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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376787903, enumerated as an "individual" on April 27, 2009.

The provider is located at WEST PERIMETER RD BLDG 1050 MALCOLM GROW MEDICAL CENTER ANDREWS AFB, MD 20762 and the phone number is (240) 857-8529.

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