Vincent Takwing Yu, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

30832 Issued in CO

Practice address

1338 Phay Ave
Canon City, CO 81212-2311

Phone

(719) 285-2760

Fax

(719) 285-2992

NPI assigned

Jun 21, 2006

Last updated

May 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Canon City Co Multi Specialty ASC LLC

  dba Arkansas Valley Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Canon City, CO
  • NPI 1750517561
  NPD (past)
• Jared M. Smith DMD, PC

  • Dental Clinic/Center
  • Canon City, CO
  • NPI 1548638711
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1033155742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122301",
            "telephone_number": "719-285-2760",
            "fax_number": "719-285-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122311",
            "telephone_number": "719-285-2760",
            "fax_number": "719-285-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "VINCENT",
        "middle_name": "TAKWING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0030832",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "30832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01308329",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "YUA34484",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George D Yang, DO
• Mary Theresa Yang, MSW
• Young and Graham PC (Fremont County Chiropractic)
• Cathey Jo Young, M.ED., O.T.R.
• Michele Denise Young, MS, LPP
• Zenity Alternative Medicine
• Mary Susan Zickefoose, M.D.
• Jill Linette Zupancic

• Surgery Physician in Canon City, CO
• Providers in Canon City, CO by specialty
• Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.