NOAH JOHNSON IDMT
NPI 1750907465
Military Health Care Provider - Independent Duty Medical Technicians in Holloman Afb, NM

Active since June 18, 2020
280 1ST ST BLDG 23, HOLLOMAN AFB, NM 88330(575) 572-0205 Get Directions Write a Review

NPPES record last updated: June 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Noah Johnson Idmt NPPES

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

NOAH JOHNSON IDMT (NPI 1750907465) is an individual independent duty medical technicians provider in Holloman Afb, New Mexico and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1750907465
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameNOAH JOHNSONCredential: IDMT
Location Address280 1ST ST BLDG 23Holloman Afb, NM 88330-8273
Mailing Address721 New Mexico Ave # 2058Holloman Afb, NM 88330-8286 · (317) 306-6143
Sole ProprietorNo
Enumeration DateJune 18, 2020
NPPES CertifiedJune 18, 2020
NPI 1750907465 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.

280 1ST ST BLDG 23, Holloman Afb, NM 88330

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.

Social Worker (Clinical)
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Social Worker (Clinical)
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Physical Therapist
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Pharmacist
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Family Medicine
280 1ST ST BLDG 23
HOLLOMAN AIR FORCE BASE, NM 88330
Social Worker
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Pediatrics
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330
Pharmacist
280 1ST ST BLDG 23
HOLLOMAN AFB, NM 88330

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 Noah Johnson's NPI number?

The NPI number for Noah Johnson is 1750907465. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Noah Johnson located?

Noah Johnson practices at 280 1st St Bldg 23, Holloman Afb, NM 88330. The listed phone number is (575) 572-0205.

What is Noah Johnson'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 Noah Johnson was last updated on June 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.