RYAN DAVID MOORE IDMT
NPI 1912540857
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since October 23, 2019
SPANGDAHLEM: 52 MED GROUP, UNIT 3690, APO, AE 09126(314) 456-5245 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Oct 23, 2019 (2 updates tracked since 2019).

About Ryan David Moore Idmt NPPES

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

RYAN DAVID MOORE IDMT (NPI 1912540857) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1912540857
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameRYAN DAVID MOORECredential: IDMT
Location AddressSPANGDAHLEM: 52 MED GROUP, UNIT 3690Apo, AE 09126
Mailing Address52 Med Group, Unit 3690Apo, AE 09126 · (314) 456-5245
Sole ProprietorNo
Enumeration DateOctober 23, 2019
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
NPI 1912540857 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.

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 Ryan Moore's NPI number?

The NPI number for Ryan Moore is 1912540857. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Ryan Moore located?

Ryan Moore practices at Spangdahlem: 52 Med Group, Unit 3690, Apo, AE 09126. The listed phone number is (314) 456-5245.

What is Ryan 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 Ryan Moore was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.