Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HYO TAC IM IDMT
NPI 1124797402
Military Health Care Provider - Independent Duty Medical Technicians in Apo, AE

Active since September 09, 2021
52 MDG, UNIT 3690, APO, AE 09719(314) 452-8333 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jul 8, 2026, Sep 9, 2021 (3 updates tracked since 2021).

About Hyo Tac Im Idmt NPPES

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

HYO TAC IM IDMT (NPI 1124797402) is an individual independent duty medical technicians provider in Apo, AE and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1124797402
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameHYO TAC IMCredential: IDMT
Location Address52 MDG, UNIT 3690Apo, AE 09719-0001
Mailing Address52 Mdg, Unit 3690Apo, AE 09126
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1124797402 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 Hyo Im's NPI number?

The NPI number for Hyo Im is 1124797402. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Hyo Im located?

Hyo Im practices at 52 Mdg Unit 3690, Apo, AE 09719. The listed phone number is (314) 452-8333.

What is Hyo Im'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 Hyo Im was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.