OrganizationActive
Mike O'Callaghan Military Medical Center
NPI 1902787500 · Independent Duty Medical Technicians · Nellis Afb, NV
Provider details
- NPI number
- 1902787500
- Entity type
- Organization
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Organization subpart
- No
- Authorized official
- Ross K Konicke, Idmt(702) 653-2273
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% 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
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-2273
Street-level locationGet directions
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2025-09-10
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.