Individual provider Active NPI

Gordon Hoy Yun, D.P.M.

  • Podiatrist
  • Cincinnati, OH
National Provider Identifier
1063411338
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36-00-3307 Issued in OH
Practice address
4355 Ferguson Dr
Cincinnati, OH 45245-5136
Phone
(513) 232-2663
Fax
(859) 817-7848
NPI assigned
Jul 19, 2005
Last updated
May 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36-00-3307 OH Primary

Addresses

Primary practice location

4355 Ferguson Dr
Cincinnati, OH 45245-5136

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071113000759 OH Practitioner - Podiatry 5698863389 Reassigns benefits to 1 organization
I20230707000572 IN Practitioner - Podiatry 5698863389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 630
Cincinnati, OH 45219-2906
Phone (859) 301-2663

605 Wilson Creek Rd
Lawrenceburg, IN 47025-2506
Phone (859) 301-2663

7910 Beechmont Ave
Cincinnati, OH 45255-4210
Phone (513) 232-2663

8251 Pine Rd
Suite 212
Cincinnati, OH 45236-2194
Phone (513) 232-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of nail tissue39
Removal or shaving of skin growth22
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocincy Orthopaedics & Sports Medicine PSC CurrentSince Feb 1, 2021 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Podiatrist CurrentSince Feb 1, 2021 Accepting new patients
Orthopaedic Consultants of Cincinnati, Inc. Podiatrist Past Accepting new patients

Locations

1600 Flossie Dr
Lawrenceburg, IN 47025
Phone (812) 539-2313

605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

4355 Ferguson Dr
Cincinnati, OH 45245
Phone (513) 221-2663

7910 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-8600

8251 Pine Rd
Ste 212
Cincinnati, OH 45236
Phone 5138410222120

8734 Union Centre Blvd
West Chester, OH 45069

Interoperability endpoints

  • Direct secure messaging: gyun341723@direct-prd.stelizabeth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1063411338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 FERGUSON DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455136",
            "telephone_number": "513-232-2663",
            "fax_number": "859-817-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "GORDON",
        "middle_name": "HOY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36-00-3307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.