Active NPI
Yaw Safo, M.D.
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1083642664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G4205
- Practice address
- 7989 W Virginia Dr
Suite 102
Dallas, TX 75237-3765 - Phone
- (972) 296-3700
- NPI assigned
- Jun 30, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G4205 | TX | Primary |
Addresses
Primary practice location
7989 W Virginia Dr
Suite 102
Dallas, TX 75237-3765
Mailing address
PO Box 380910
Duncanville, TX 75138-0910
Phone (972) 296-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098203502 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1356393490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083642664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 380910",
"city": "DUNCANVILLE",
"state": "TX",
"postal_code": "751380910",
"telephone_number": "972-296-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7989 W VIRGINIA DR",
"address_2": "SUITE 102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752373765",
"telephone_number": "972-296-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFO",
"first_name": "YAW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G4205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098203502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.