Active NPI
Benjamin Yokel
- Dermatology Physician
- Virginia, MN
National Provider Identifier
1033156823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 35885
- Practice address
- 1101 9TH St N
Virginia, MN 55792-2329 - Phone
- (218) 741-0150
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 35885 | MN | Primary |
Addresses
Primary practice location
1101 9TH St N
Virginia, MN 55792-2329
Mailing address
1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 811508700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1033156823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 9TH ST N",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557922329",
"telephone_number": "218-741-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 9TH ST N",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "557922329",
"telephone_number": "218-741-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOKEL",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MN",
"license": "35885",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "811508700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.