Yorckay C Ishizawar MD Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

02303295 Issued in VA

Legal business name

YORCKAY C ISHIZAWAR MD INC

Practice address

211 Temple Ave
Colonial Heights, VA 23834-2827

Phone

(804) 526-0107

Fax

(804) 526-4466

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yorckay C Ishizawar, M.D.NPI 1003865924

Title

President

Phone

(804) 536-0107

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yorckay Chang Ishizawar, M.D.

  • Surgery Physician
  • Colonial Heights, VA
  • NPI 1003865924
  NPD (past) Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1023270113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342827",
            "telephone_number": "804-526-0107",
            "fax_number": "804-526-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TEMPLE AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342827",
            "telephone_number": "804-526-0107",
            "fax_number": "804-526-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORCKAY C ISHIZAWAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "ISHIZAWAR",
        "authorized_official_first_name": "YORCKAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-536-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "02303295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1003865924",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7382111",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Wong
• Gwendolyn A. Wooden, O.D.
• Joseph Irvin Wright Jr., DDS
• Luther L. Wright Jr., M.D.,M.SC.,MT(ASCP)
• Xiaobo Xu, MD, PHD
• John M Yosay, MD
• Ericka S. Young, D.O
• Yu Pediatrics PC
• Lanping Yu, MD
• David Michael Zlotkin, M.D.

• Clinic/Center in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.