NPIMap

Individual provider Active NPI

Anthony Joel Yuen, D.O.

  • Family Medicine Physician
  • Summerville, SC
National Provider Identifier
1033476155
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37708 Issued in SC
Practice address
1112 N Main St
Summerville, SC 29483-7315
Phone
(843) 212-8080
Fax
(843) 212-8081
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37708 SC Primary

Addresses

Primary practice location

1112 N Main St
Summerville, SC 29483-7315

Mailing address

PO Box 632516
Cincinnati, OH 45263-2516
Phone (888) 472-0043

Other identifiers 1

IdentifierTypeStateIssuer
377087MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106000552 SC Practitioner - Family Practice 4688804644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1112 N Main St
Summerville, SC 29483-7315
Phone (843) 212-8080

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1096NEMDMental Health Counselor
37708SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Aug 24, 2015 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Aug 24, 2015 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

9500 Dorchester Rd
Ste 362
Summerville, SC 29485
Phone (843) 212-8080

1112 N Main St
Summerville, SC 29483
Phone (843) 212-8080

1114 N Main St
Summerville, SC 29483
Phone (843) 212-8034

Interoperability endpoints

  • Direct secure messaging: ayuen1236006@direct.bsmhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1033476155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632516",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632516",
            "telephone_number": "888-472-0043",
            "fax_number": "513-653-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294837315",
            "telephone_number": "843-212-8080",
            "fax_number": "843-212-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "ANTHONY",
        "middle_name": "JOEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377087",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.