Individual provider Active NPI

Steven L Yucht, MD

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1073606190
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME75334 Issued in FL
Practice address
2445 SW 76TH St
Suite 110
Gainesville, FL 32608-0350
Phone
(352) 872-5111
Fax
(352) 872-5121
NPI assigned
Oct 2, 2006
Last updated
Aug 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME75334 FL Primary

Addresses

Primary practice location

2445 SW 76TH St
Suite 110
Gainesville, FL 32608-0350

Mailing address

2445 SW 76TH St
Suite 110
Gainesville, FL 32608-0350
Phone (352) 872-5111

Other identifiers 1

IdentifierTypeStateIssuer
254471700MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000616 FL Practitioner - Emergency Medicine 8527105147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2445 Sw76Th St
Suite 110
Gainesville, FL 32608-0350
Phone (325) 872-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME75334FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Medical Center, LLC Emergency Medicine CurrentSince Feb 25, 2010 Accepting new patients

Locations

2445 SW 76th St
Ste 110
Gainesville, FL 32608
Phone (325) 872-5111

9181 NW 39th Ave
Gainesville, FL 32606
Phone (352) 872-5111

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1073606190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW 76TH ST",
            "address_2": "SUITE 110",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080350",
            "telephone_number": "352-872-5111",
            "fax_number": "352-872-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 SW 76TH ST",
            "address_2": "SUITE 110",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080350",
            "telephone_number": "352-872-5111",
            "fax_number": "352-872-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCHT",
        "first_name": "STEVEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME75334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254471700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.