MATTHEW HETRICK IDMT
NPI 1821614538
Military Health Care Provider - Independent Duty Medical Technicians in Tyndall Afb, FL

Active since June 18, 2020
340 MAGNOLIA CIR # 5612, TYNDALL AFB, FL 32403(850) 283-7357 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2024, Jun 18, 2020 (2 updates tracked since 2020).

About Matthew Hetrick Idmt NPPES

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

MATTHEW HETRICK IDMT (NPI 1821614538) is an individual independent duty medical technicians provider in Tyndall Afb, Florida and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1821614538
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMATTHEW HETRICKCredential: IDMT
Location Address340 MAGNOLIA CIR # 5612Tyndall Afb, FL 32403-5612
Mailing Address340 Magnolia Cir # 5612Tyndall Afb, FL 32403-5612
Sole ProprietorNo
Enumeration DateJune 18, 2020
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1821614538 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.
340 MAGNOLIA CIR # 5612, Tyndall Afb, FL 32403

Other Providers at the Same Location NPPES 3

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)
340 MAGNOLIA CIR # 5612
TYNDALL AFB, FL 32403
Psychologist (Counseling)
340 MAGNOLIA CIR # 5612
PANAMA CITY, FL 32403
Dentist
340 MAGNOLIA CIR # 5612
TYNDALL AFB, FL 32403

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 Matthew Hetrick's NPI number?

The NPI number for Matthew Hetrick is 1821614538. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Where is Matthew Hetrick located?

Matthew Hetrick practices at 340 Magnolia Cir # 5612, Tyndall Afb, FL 32403. The listed phone number is (850) 283-7357.

What is Matthew Hetrick'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 Matthew Hetrick was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.