In T Yoon, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01030026 Issued in IN

Practice address

29 E Main St
Peru, IN 46970-2210

Phone

(765) 473-5567

NPI assigned

Oct 19, 2006

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1043392426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702210",
            "telephone_number": "765-473-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 E MAIN ST",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469702210",
            "telephone_number": "765-473-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "IN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01030026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100179330A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Willis, BGS
• Witham Memorial Hospital (Blair Ridge Health Campus)
• Susan Kay Wolf, LMHC
• Elizabeth E Wolfe
• Zoe Wolfe
• Young Mens Christian Association
• David Phillip Zandi, DDS
• Jennifer Nichole Zell, BA
• Kenneth Jay Zumbaugh, MS, LMHC

• General Practice Physician in Peru, IN
• Providers in Peru, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.