Active NPI
Stephen C Yim, MD
- Gynecology Physician
- Chesterfield, MO
National Provider Identifier
1043221047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- R3N53
- Practice address
- 226 S Woods Mill Rd
Suite 55 West
Chesterfield, MO 63017-3662 - Phone
- (314) 469-4440
- Fax
- (314) 576-2346
- NPI assigned
- Aug 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | R3N53 | MO | Primary |
| Gynecologic Oncology Physician | 207VX0201X | R3N53 | MO |
Addresses
Primary practice location
226 S Woods Mill Rd
Suite 55 West
Chesterfield, MO 63017-3662
Mailing address
226 S Woods Mill Rd
Suite 55 West
Chesterfield, MO 63017-3662
Phone (314) 469-4440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160046009 | Other | MO | RR MEDICARE |
| P00657134 | Other | MO | RR MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3N53 | MO | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Yim, MD, LLC | Gynecologic Oncology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gynecologic Oncology Physician
- Chesterfield, MO
- NPI 1669515094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268352000000",
"number": "1043221047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 S WOODS MILL RD",
"address_2": "SUITE 55 WEST",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173662",
"telephone_number": "314-469-4440",
"fax_number": "314-576-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 S WOODS MILL RD",
"address_2": "SUITE 55 WEST",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173662",
"telephone_number": "314-469-4440",
"fax_number": "314-576-2346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "STEPHEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2010-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MO",
"license": "R3N53",
"primary": true
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "MO",
"license": "R3N53",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "160046009",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00657134",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.