CAMERON MODISETTE
NPI 1639300312
Military Health Care Provider - Independent Duty Medical Technicians in Hickam Afb, HI

Active since July 29, 2009
755 SCOTT CIR, HICKAM AFB, HI 96853(808) 448-6203(808) 448-6226 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cameron Modisette NPPES

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

CAMERON MODISETTE (NPI 1639300312) is an individual independent duty medical technicians provider in Hickam Afb, Hawaii and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1639300312
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameCAMERON MODISETTE
Location Address755 SCOTT CIRHickam Afb, HI 96853-5399
Mailing Address755 Scott CirHickam Afb, HI 96853-5399
Fax(808) 448-6226
Sole ProprietorNo
Enumeration DateJuly 29, 2009
NPI 1639300312 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.

755 SCOTT CIR, Hickam Afb, HI 96853

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
755 SCOTT CIR
HICKAM AFB, HI 96853
Military/U.S. Coast Guard Pharmacy
755 SCOTT CIR
HICKAM AFB, HI 96853
Dentist (General Practice)
755 SCOTT CIR, 15 MDG SGD
HICKAM AFB, HI 96853
Counselor (Addiction (Substance Use Disorder))
755 SCOTT CIR, BLDG 559
HICKAM AFB, HI 96853
Clinic/Center (Primary Care)
755 SCOTT CIR, 15TH MED GROUP
HICKAM AFB, HI 96853
Pharmacist
755 SCOTT CIR, 15TH MEDICAL GROUP
HICKAM AFB, HI 96853
Licensed Practical Nurse
755 SCOTT CIR, JBPHH
J B P H H, HI 96853
Dental Hygienist
755 SCOTT CIR, BLDG 559
HICKAM AFB, HI 96853

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 Cameron Modisette's NPI number?

The NPI number for Cameron Modisette is 1639300312. It was assigned to this individual provider in the NPPES registry on July 29, 2009.

Where is Cameron Modisette located?

Cameron Modisette practices at 755 Scott Cir, Hickam Afb, HI 96853. The listed phone number is (808) 448-6203.

What is Cameron Modisette'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 Cameron Modisette was last updated on July 29, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.