Active NPI
Jaimie Yun, DPM
- Podiatrist
- Hilliard, OH
National Provider Identifier
1083607444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-00-2835
- Practice address
- 4698 Cemetery Rd
Hilliard, OH 43026-1124 - Phone
- (614) 771-7100
- Fax
- (614) 771-6174
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-00-2835 | OH | Primary |
Addresses
Primary practice location
4698 Cemetery Rd
Hilliard, OH 43026-1124
Mailing address
PO Box 27940
Columbus, OH 43227-0940
Phone (614) 239-0399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0171700 | Medicaid | OH | |
| YU0791814 | Other | OH | MEDICARE PTAN |
Other names 1
- Jaimie Yun
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2835 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gentle Footcare LLC | Podiatrist | Past | Accepting new patients |
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.
-
- Durable Medical Equipment & Medical Supplies
- Hilliard, OH
- NPI 1396822698
Podiatrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1083607444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27940",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432270940",
"telephone_number": "614-239-0399",
"fax_number": "614-237-5220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4698 CEMETERY RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261124",
"telephone_number": "614-771-7100",
"fax_number": "614-771-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUN",
"first_name": "JAIMIE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-00-2835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0171700",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "YU0791814",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAIMIE",
"last_name": "YUN",
"credential": "DPM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.