Active NPI
Samuel J. Yankelove, MD, PA
- Specialist
- Houston, TX
National Provider Identifier
1043338692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel J. Yankelove, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171577301 | Medicaid | TX |
Other names 1
- EYE LASER SPECIALIST, INC.
National Provider Directory
National Provider DirectoryPractitioners & 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.