Jonathan David Yates, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102202903 Issued in VA

Practice address

2111 College Ave
Bluefield, VA 24605-2002

Phone

(276) 322-4661

Fax

(276) 322-4663

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jdyates@yourcarecommunity.org

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.

• Bluefield Regional Medical Center Inc

  • Rural Health Clinic/Center
  • Bluefield, VA
  • NPI 1184890808
  NPD (past)
• Bluefield HBP Medical Group LLC

  • Anesthesiology Physician
  • Bluefield, WV
  • NPI 1750699260
  NPD (past)
• Washington Physician Services

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1073557047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-4661",
            "fax_number": "276-322-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 COLLEGE AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246052002",
            "telephone_number": "276-322-4661",
            "fax_number": "276-322-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-010723L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "2379",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102202903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014603",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001798368-003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danise Conley White, OTRL
• Jodie Faith Whitlock
• Jeffrey Alan Williams, D.C.
• Jennifer Lee Williams, LPTA
• Kellan Mallory Wood

• Family Medicine Physician in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.