Active NPI
Richard Elwood Yeater, MD
- Family Medicine Physician
- Hendersonville, NC
National Provider Identifier
1063607372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 141161
- Practice address
- 709 N Justice St Ste B
Hendersonville, NC 28791-3455 - Phone
- (828) 696-1255
- Fax
- (828) 696-1257
- NPI assigned
- Sep 10, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 141161 | NC | Primary |
Addresses
Primary practice location
709 N Justice St Ste B
Hendersonville, NC 28791-3455
Mailing address
709 N Justice St Ste B
Hendersonville, NC 28791-3455
Phone (828) 696-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110902000581 | FL | Practitioner - Family Practice | 2163692922 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141161 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Tampa After Hours Clinic, LLC | Current | Accepting new patients |
Locations
602 S Howard Ave
Tampa, FL 33606
Phone (813) 253-2113
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1063607372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 N JUSTICE ST STE B",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913455",
"telephone_number": "828-696-1255",
"fax_number": "828-696-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 N JUSTICE ST STE B",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913455",
"telephone_number": "828-696-1255",
"fax_number": "828-696-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATER",
"first_name": "RICHARD",
"middle_name": "ELWOOD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-10",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "141161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.