Suzanne Yoder, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

45805 Issued in CO

Practice address

2055 High Street
#370
Denver, CO 80205-5504

Phone

(303) 839-6001

Fax

(303) 839-6033

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AZ, CA, SD3 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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Banner Physician Super Specialists Arizona LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1841573870
  Medicare reassignment NPD
• Valley Children'S Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  Medicare reassignment NPD
• Banner - University Hospital Based Physicians LLC

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1750751566
  Medicare reassignment
• Avera McKennan

  • Diagnostic Radiology Physician
  • Sioux Falls, SD
  • NPI 1053680678
  NPD
• Avera McKennan

  • Multi-Specialty Clinic/Center
  • Pierre, SD
  • NPI 1780829283
  NPD
• Banner Physician Super Specialists Arizona LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1386462810
  NPD
• Wesley Pathology Consultants PA

  • Clinical Pathology/Laboratory Medicine Physician
  • Wichita, KS
  • NPI 1770568263
  NPD
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1023062098
  NPD (past)
• HCA Healthone LLC

  • General Acute Care Hospital
  • Englewood, CO
  • NPI 1396790200
  NPD (past)
• HCA Healthone LLC

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1720038946
  NPD (past)
• HCA Healthone LLC

  • General Acute Care Hospital
  • Thornton, CO
  • NPI 1821042979
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1083836589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "AR",
            "postal_code": "93454",
            "telephone_number": "805-739-3114",
            "fax_number": "805-739-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HIGH STREET",
            "address_2": "#370",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055504",
            "telephone_number": "303-839-6001",
            "fax_number": "303-839-6033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Church St Bldg 8",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545906",
            "country_code": "US",
            "telephone_number": "805-739-3561",
            "fax_number": "805-739-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YODER",
        "first_name": "SUZANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CA",
            "license": "A69017",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "CO",
            "license": "45805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025570000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083836589",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083836589",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69972770",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083836589",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7721930",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Alina Ynigo
• Joshua Yochum
• Naomi Yochum
• Samantha Yocum
• Kyoko Leann Yoda, DMD
• Allison Yoelin
• Anthony Yokum, OTR/L
• Keiko Yoneyama-Sims, LMFT
• Moon Yoon, M.D.
• Soonho Yoon

• Pediatric Surgery Physician in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.