Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Matthew Philip Scully, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1013256536

Matthew Philip Scully, IDMT is registered under Independent Duty Medical Technicians in Wright Patterson AFB, Ohio. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529 Not confirmed with CMS for 13 years — call before visiting
Phone: (616) 717-0169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1013256536
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedFebruary 4, 2013
Last updated in NPPESFebruary 4, 2013

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