PAUL M MONTGOMERY IDMT
NPI 1679703060
Military Health Care Provider - Independent Duty Medical Technicians in Fairchild Afb, WA

Active since July 20, 2009
2504 S CHICAGO ST, FAIRCHILD AFB, WA 99011(509) 247-5414 Get Directions Write a Review

NPPES record last updated: July 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul M Montgomery Idmt NPPES

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

PAUL M MONTGOMERY IDMT (NPI 1679703060) is an individual independent duty medical technicians provider in Fairchild Afb, Washington and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1679703060
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NamePAUL M MONTGOMERYCredential: IDMT
Location Address2504 S CHICAGO STFairchild Afb, WA 99011-8548
Mailing Address274 N Watson RdCaledonia, MS 39740-9573 · (662) 435-0279
Sole ProprietorNo
Enumeration DateJuly 20, 2009
NPI 1679703060 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.
2504 S CHICAGO ST, Fairchild Afb, WA 99011

Other Providers at the Same Location NPPES 10

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

Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011
Military Health Care Provider (Independent Duty Medical Technicians)
2504 S CHICAGO ST
FAIRCHILD AFB, WA 99011

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 Paul Montgomery's NPI number?

The NPI number for Paul Montgomery is 1679703060. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Paul Montgomery located?

Paul Montgomery practices at 2504 S Chicago St, Fairchild Afb, WA 99011. The listed phone number is (509) 247-5414.

What is Paul Montgomery'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 Paul Montgomery was last updated on July 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.