Organization Active NPI

Vinaya K Yadla MD PC

  • Internal Medicine Physician
  • Florence, AL
National Provider Identifier
1043326820
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4163 Issued in AL
Legal business name
VINAYA K YADLA MD PC
Practice address
2115 Cloyd Blvd
Suite 5
Florence, AL 35630-7512
Phone
(256) 766-0060
Fax
(256) 766-2111
NPI assigned
Aug 22, 2006
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mrs. Vinaya K Yadla, MD
Title
Owner
Phone
(256) 766-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4163 AL Primary

Addresses

Primary practice location

2115 Cloyd Blvd
Suite 5
Florence, AL 35630-7512

Mailing address

2115 Cloyd Blvd
Suite 5
Florence, AL 35630-7512
Phone (256) 766-0060

Other identifiers 3

IdentifierTypeStateIssuer
110090645OtherMEDICARE RAILROAD
51047136OtherBCBS
000047136MedicaidAL

National Provider Directory

National Provider Directory

Locations

2115 Cloyd Blvd
Ste 5
Florence, AL 35630
Phone (256) 766-0060

2115 Cloyd Blvd
Florence, AL 35630
Phone (256) 766-0060

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1043326820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 5",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-766-0060",
            "fax_number": "256-766-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CLOYD BLVD",
            "address_2": "SUITE 5",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356307512",
            "telephone_number": "256-766-0060",
            "fax_number": "256-766-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINAYA K YADLA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "YADLA",
        "authorized_official_first_name": "VINAYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-766-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "4163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110090645",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51047136",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000047136",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.