Active NPI
Jan Yu, M.D.
- Independent Medical Examiner Physician
- Plano, TX
National Provider Identifier
1053517813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- License
- L3882
- Practice address
- 3101 San Simeon Way
Plano, TX 75023-6648 - Phone
- (214) 770-6075
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | L3882 | TX | Primary |
Addresses
Primary practice location
3101 San Simeon Way
Plano, TX 75023-6648
Mailing address
3101 San Simeon Way
Plano, TX 75023-1311
Phone (214) 770-6075
Other names 1
- Jan Yu Charlton
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 |
|---|---|---|---|
| L3882 | TX | MD | Independent Medical Examiner Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Seniors Inc | Past | Accepting new patients | |
| Diagnostic Associates of North Texas PA | 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.
-
- Internal Medicine Physician
- Frisco, TX
- NPI 1689600322
-
- Preferred Provider Organization
- Indianapolis, IN
- NPI 1013029321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1053517813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SAN SIMEON WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750231311",
"telephone_number": "214-770-6075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SAN SIMEON WAY",
"city": "PLANO",
"state": "TX",
"postal_code": "750236648",
"telephone_number": "214-770-6075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "202C00000X",
"taxonomy_group": "",
"desc": "Independent Medical Examiner",
"state": "TX",
"license": "L3882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "CHARLTON",
"middle_name": "YU",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.