TADD OLIN KNOX RAGSDALE IDMT
NPI 1558700104
Military Health Care Provider - Independent Duty Medical Technicians in Beale Afb, CA

Active since June 17, 2013
3062 TROUTMAN DR, BEALE AFB, CA 95903(916) 757-4603 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tadd Olin Knox Ragsdale Idmt NPPES

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

TADD OLIN KNOX RAGSDALE IDMT (NPI 1558700104) is an individual independent duty medical technicians provider in Beale Afb, California and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1558700104
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameTADD OLIN KNOX RAGSDALECredential: IDMT
Location Address3062 TROUTMAN DRBeale Afb, CA 95903-2329
Mailing Address3062 Troutman DrBeale Afb, CA 95903-2329 · (916) 757-4603
Sole ProprietorNo
Enumeration DateJune 17, 2013
NPI 1558700104 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.

3062 TROUTMAN DR, Beale Afb, CA 95903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558700104, enumerated as an "individual" on June 17, 2013.

The provider is located at 3062 TROUTMAN DR BEALE AFB, CA 95903 and the phone number is (916) 757-4603.

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