MR. SHAWN CHRISTOPHER MOORE IDMT
NPI 1811128754
Military Health Care Provider - Independent Duty Medical Technicians in Robins Afb, GA

Active since July 27, 2009
655TH 7TH STREET, ROBINS AFB, GA 31098(478) 327-8126 Get Directions Write a Review

NPPES record last updated: July 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Shawn Christopher Moore Idmt NPPES

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

MR. SHAWN CHRISTOPHER MOORE IDMT (NPI 1811128754) is an individual independent duty medical technicians provider in Robins Afb, Georgia and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1811128754
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. SHAWN CHRISTOPHER MOORECredential: IDMT
Location Address655TH 7TH STREETRobins Afb, GA 31098
Mailing Address128 Sinton PlWarner Robins, GA 31098-1045 · (478) 285-4443
Sole ProprietorNo
Enumeration DateJuly 27, 2009
NPI 1811128754 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.
655TH 7TH STREET, Robins Afb, GA 31098

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 Shawn Moore's NPI number?

The NPI number for Shawn Moore is 1811128754. It was assigned to this individual provider in the NPPES registry on July 27, 2009.

Where is Shawn Moore located?

Shawn Moore practices at 655th 7th Street, Robins Afb, GA 31098. The listed phone number is (478) 327-8126.

What is Shawn Moore'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 Shawn Moore was last updated on July 27, 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.