IndividualActive
Patrick Korthuis, IDMT
NPI 1770818056 · Independent Duty Medical Technicians · Scott Afb, IL
Provider details
- NPI number
- 1770818056
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 East Dr
Bldg 3650 Rm 135
Scott Afb, IL 62225-5408
Phone: (618) 229-7221
Approximate (ZIP-level) locationGet directions
Mailing address
932 Medical Squadron
Scott Afb, IL 62225
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2009-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.