Active NPI
David B Yanoff, MD
- Orthopaedic Surgery Physician
- Salmon, ID
National Provider Identifier
1043309156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- M-8769
- Practice address
- 805 Main St
Salmon, ID 83467-0000 - Phone
- (208) 756-6212
- Fax
- (208) 756-6336
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | M-8769 | ID | Primary |
Addresses
Primary practice location
805 Main St
Salmon, ID 83467-0000
Mailing address
203 S Daisy St
Salmon, ID 83467-0000
Phone (208) 456-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807044601 | Medicaid | ID |
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 |
|---|---|---|---|
| M-8769 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mahoning Valley Orthopedics, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Connecticut Physician Consultants | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- New Britain, CT
- NPI 1720379639
-
- Orthopaedic Surgery Physician
- Palmerton, PA
- NPI 1538206438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1043309156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S DAISY ST",
"city": "SALMON",
"state": "ID",
"postal_code": "834670000",
"telephone_number": "208-456-5600",
"fax_number": "208-756-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 MAIN ST",
"city": "SALMON",
"state": "ID",
"postal_code": "834670000",
"telephone_number": "208-756-6212",
"fax_number": "208-756-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANOFF",
"first_name": "DAVID",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "M-8769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807044601",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salmon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.