Active NPI
Joseph William Yarbrough Jr., DO
- Emergency Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 323067
- Practice address
- 1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130 - Phone
- (318) 626-1034
- NPI assigned
- Apr 2, 2018
- Last updated
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 323067 | LA | Primary |
Addresses
Primary practice location
1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130
Mailing address
1501 Kings Highway
Emergency Medicine
Shreveport, LA 71130
Phone (318) 626-1034
Other practice location 1
2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 435-9411
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Healthcare Systems Inc | Emergency Medicine | Current | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800
Networks
- Freedom Health HMO Network
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.
-
dba HHCSI Halifax Family Health Center
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Emergency Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Halifax Medical Center
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
dba Halifax Health UF Health - Medical Center of Deltona
- General Acute Care Hospital
- Deltona, FL
- NPI 1003465097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1093211856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HIGHWAY",
"address_2": "EMERGENCY MEDICINE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71130",
"telephone_number": "318-626-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 KINGS HIGHWAY",
"address_2": "EMERGENCY MEDICINE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71130",
"telephone_number": "318-626-1034"
}
],
"practiceLocations": [
{
"address_1": "2106 Loop Rd",
"address_purpose": "LOCATION",
"city": "Winnsboro",
"state": "LA",
"postal_code": "712953344",
"country_code": "US",
"telephone_number": "318-435-9411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YARBROUGH",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "323067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.