Individual provider Active NPI

John Stuart Yordy, M.D. , PH.D.

  • Radiation Oncology Physician
  • Palmer, AK
National Provider Identifier
1063711026
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MEDS8373 Issued in AK
Practice address
2490 S Woodworth Loop Ste 150
Palmer, AK 99645-7407
Phone
(907) 745-2900
Fax
(907) 745-2999
NPI assigned
Mar 16, 2011
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MEDS8373 AK Primary

Addresses

Primary practice location

2490 S Woodworth Loop Ste 150
Palmer, AK 99645-7407

Mailing address

2490 S Woodworth Loop Ste 150
Palmer, AK 99645-7407
Phone (907) 745-2900

Other practice location 1

1515 Holcombe Blvd
M.D. Anderson Cancer Center Radiation Oncology Unit 97
Houston, TX 77030
Phone (713) 563-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110912000779 TX Practitioner - Radiation Oncology 0345411997 Reassigns benefits to 1 organization
I20150417000516 AK Practitioner - Radiation Oncology 0345411997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Valley Radiation OncologyGroup PAC ID 5395937064, 4 clinicians
Alaska Radiation Oncology Specialists IncGroup PAC ID 9931391687, 4 clinicians

Practice addresses (Care Compare)

1700 E Bogard Rd
Wasilla, AK 99654-6570
Phone (907) 921-5088

2490 S Woodworth Loop
Suite 150
Palmer, AK 99645-7407
Phone (907) 276-2400

2841 Debarr Rd
Suite 100
Anchorage, AK 99508-2945
Phone (907) 276-2400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Aug 9, 2017 Accepting new patients
Alaska Radiation Oncology Specialists, Inc CurrentSince Jan 28, 2015 Accepting new patients
Valley Radiation Oncology Radiation Oncology CurrentSince Jan 28, 2015 Accepting new patients
Vrom LLC PastSince Mar 1, 2020 Accepting new patients

Locations

2841 Debarr Rd
Ste 100
Anchorage, AK 99508
Phone (907) 276-2400

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

2490 S Woodworth Loop
Ste 150
Palmer, AK 99645
Phone (907) 276-2400

Organizations & group practices 4

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 1

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1063711026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP STE 150",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457407",
            "telephone_number": "907-745-2900",
            "fax_number": "907-745-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP STE 150",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457407",
            "telephone_number": "907-745-2900",
            "fax_number": "907-745-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Holcombe Blvd",
            "address_2": "M.D. Anderson Cancer Center Radiation Oncology Unit 97",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77030",
            "country_code": "US",
            "telephone_number": "713-563-2300",
            "fax_number": "713-792-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORDY",
        "first_name": "JOHN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D. , PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-16",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AK",
            "license": "MEDS8373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.