Active NPI
Andrew Chad Yorgason, D.O.
- Occupational Medicine Physician
- Tonopah, AZ
National Provider Identifier
1053548081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 005705
- Practice address
- 5801 S Wintersburg Rd
Tonopah, AZ 85354-7529 - Phone
- (623) 393-2636
- Fax
- (623) 393-2062
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 005705 | AZ | |
| Occupational Medicine Physician | 2083X0100X | 005705 | AZ | Primary |
Addresses
Primary practice location
5801 S Wintersburg Rd
Tonopah, AZ 85354-7529
Mailing address
7126 W Windrose Dr
Peoria, AZ 85381-9501
Phone (602) 614-3183
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005705 | AZ | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1053548081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7126 W WINDROSE DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853819501",
"telephone_number": "602-614-3183",
"fax_number": "623-393-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 S WINTERSBURG RD",
"city": "TONOPAH",
"state": "AZ",
"postal_code": "853547529",
"telephone_number": "623-393-2636",
"fax_number": "623-393-2062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORGASON",
"first_name": "ANDREW",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "AZ",
"license": "005705",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "AZ",
"license": "005705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tonopah, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.