LUKE WILLIAM WILLIS IDMT
NPI 1588996243
Military Health Care Provider - Independent Duty Medical Technicians in Colorado Springs, CO

Active since February 05, 2010
1965 SHAWNEE DR, COLORADO SPRINGS, CO 80915(719) 375-4057 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Luke William Willis Idmt NPPES

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

LUKE WILLIAM WILLIS IDMT (NPI 1588996243) is an individual independent duty medical technicians provider in Colorado Springs, Colorado and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1588996243
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameLUKE WILLIAM WILLISCredential: IDMT
Location Address1965 SHAWNEE DRColorado Springs, CO 80915-1920
Mailing Address1965 Shawnee DrColorado Springs, CO 80915-1920
Sole ProprietorNo
Enumeration DateFebruary 5, 2010
NPI 1588996243 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.
1965 SHAWNEE DR, Colorado Springs, CO 80915

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 Luke Willis's NPI number?

The NPI number for Luke Willis is 1588996243. It was assigned to this individual provider in the NPPES registry on February 5, 2010.

Where is Luke Willis located?

Luke Willis practices at 1965 Shawnee Dr, Colorado Springs, CO 80915. The listed phone number is (719) 375-4057.

What is Luke Willis'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 Luke Willis was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.