NPIMap

Organization Active NPI

Emmanuel Yumang, MD, PLLC

  • Internal Medicine Physician
  • London, KY
National Provider Identifier
1013951334
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMMANUEL YUMANG, MD, PLLC
Practice address
73 Thompson Poynter Rd
Ste a
London, KY 40741-7238
Phone
(606) 877-1446
Fax
(606) 877-1285
NPI assigned
Jun 16, 2006
Last updated
Jul 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Emmanuel A. Yumang, MD
Title
Owner/Physician
Phone
(606) 877-1446

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

73 Thompson Poynter Rd
Ste a
London, KY 40741-7238

Mailing address

73 Thompson Poynter Rd
Ste a
London, KY 40741-2050
Phone (606) 877-1446

Other identifiers 2

IdentifierTypeStateIssuer
000000375125OtherKYBCBS
31-001001MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050425000523 KY Part B Supplier - Clinic/Group Practice 3476591926 Receives reassigned benefits from 4 practitioners
Practice locations: London, KY
O20211122000690 KY Part A Provider - Rural Health Clinic 3476591926 Practice locations: London, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013951334. Details of each certification follow.

Rural health clinic certification: CCN B03910

Legal name
EMMANUEL YUMANG, MD, PLLC
Doing business as
HEALTH EXPRESS FAMILY PRACTICE AND URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 18, 2023
Last certification
Jan 18, 2023
Ownership / control type
1A
Organization structure
LLCProprietary
Incorporated
Feb 17, 2005 in KY
Enrollment address
1752 Highway 192 W
Ste 300
London, KY 40741-2141

National Provider Directory

National Provider Directory

Locations

1752 Highway 192 W
London, KY 40741

1752 Highway 192 W
Ste 300
London, KY 40741
Phone (606) 877-1352

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Caroline Yumang Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Paula Huffman Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Benjamin Sutton Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Operational/Managerial ControlManaging Member May 6, 2023 25%
John Fields Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Tommie L Fields Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
W-2 Managing EmployeePractice Manager May 6, 2023 25%
Operational/Managerial ControlPractice Manager May 6, 2023 25%
Emmanuel C Yumang Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Operational/Managerial ControlManaging Member Feb 13, 2005 25%
James G Huffman Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%
Operational/Managerial ControlManaging Member May 6, 2023 25%
Teshawna L Barker-Sutton Individual 5% Or Greater Direct Ownership InterestBoard Member May 6, 2023 12.5%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1013951334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD",
            "address_2": "STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412050",
            "telephone_number": "606-877-1446",
            "fax_number": "606-877-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 THOMPSON POYNTER RD",
            "address_2": "STE A",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417238",
            "telephone_number": "606-877-1446",
            "fax_number": "606-877-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL YUMANG, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "YUMANG",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "606-877-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000375125",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-001001",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.