Active NPI
Ervin Yen, M.D.
- Anesthesiology Physician
- Oklahoma City, OK
National Provider Identifier
1063489896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13723
- Practice address
- 1000 N Lee Ave
Oklahoma City, OK 73102-1036 - Phone
- (405) 272-9641
- Fax
- (405) 235-0738
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 13723 | OK | Primary |
Addresses
Primary practice location
1000 N Lee Ave
Oklahoma City, OK 73102-1036
Mailing address
608 NW 9TH St Ste 6210
Oklahoma City, OK 73102-1069
Phone (405) 272-9641
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100094460A | Medicaid | OK |
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 |
|---|---|---|---|
| 13723 | OK | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1063489896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 NW 9TH ST STE 6210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021069",
"telephone_number": "405-272-9641",
"fax_number": "405-235-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N LEE AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731021036",
"telephone_number": "405-272-9641",
"fax_number": "405-235-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "ERVIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "13723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100094460A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.