Provider Type Icon

JUSTIN CHIASSON IDMT NPI 1629436977


NPI Information

NPI: 1629436977
Provider Name: JUSTIN CHIASSON, IDMT
Classification: Military Health Care Provider - 1710I1003X
Entity Type: Individual

Specialization: Independent Duty Medical Technicians

Address:
4175 S ALAMO AVE BLDG 400
DAVIS MONTHAN AFB, AZ
ZIP 85707
Phone: (626) 715-8203
Get Directions

Justin Chiasson, IDMT is an independent duty medical technicians military health care provider in Davis Monthan Afb, AZ. The provider is 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. Justin Chiasson, IDMT NPI is 1629436977. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4175 S ALAMO AVE BLDG 400
DAVIS MONTHAN AFB, AZ
ZIP 85707-402
Phone: (626) 715-8203

The enumeration date for this NPI number is 2/2/2016 and was last updated on 2/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11710I1003XMilitary Health Care ProviderIndependent Duty Medical TechniciansYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.