Organization Active NPI

Samuel J. Yankelove, MD, PA

  • Specialist
  • Houston, TX
National Provider Identifier
1043338692
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SAMUEL J. YANKELOVE, MD, PA
Practice address
8800 Katy Fwy
Suite 107
Houston, TX 77024-1633
Phone
(713) 827-8311
Fax
(713) 827-7488
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Samuel J. Yankelove, M.D.NPI 1073511325
Title
President
Phone
(713) 827-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8800 Katy Fwy
Suite 107
Houston, TX 77024-1633

Mailing address

8800 Katy Fwy
Suite 107
Houston, TX 77024-1633
Phone (713) 827-8311

Other identifiers 1

IdentifierTypeStateIssuer
171577301MedicaidTX

Other names 1

  • EYE LASER SPECIALIST, INC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1043338692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 KATY FWY",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241633",
            "telephone_number": "713-827-8311",
            "fax_number": "713-827-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 KATY FWY",
            "address_2": "SUITE 107",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241633",
            "telephone_number": "713-827-8311",
            "fax_number": "713-827-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL J. YANKELOVE, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "YANKELOVE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-827-8311",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171577301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE LASER SPECIALIST, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.