Active NPI
Yadolah Karnama, MD
- Ophthalmic Technician/Technologist
- West Burlington, IA
National Provider Identifier
1093701989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Technician/Technologist
- License
- 26392
- Practice address
- 1223 S Gear Avenue Suite 207
West Burlington, IA 52655-1693 - Phone
- (319) 752-8424
- Fax
- (319) 752-7327
- NPI assigned
- Sep 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Technician/Technologist | 156FX1100X | 26392 | IA | Primary |
Addresses
Primary practice location
1223 S Gear Avenue Suite 207
West Burlington, IA 52655-1693
Mailing address
1223 S Gear Avenue Suite 207
West Burlington, IA 52655-1693
Phone (319) 752-8424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0258343 | Medicaid | IA |
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
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212537600000",
"number": "1093701989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 S GEAR AVENUE SUITE 207",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551693",
"telephone_number": "319-752-8424",
"fax_number": "319-752-7327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 S GEAR AVENUE SUITE 207",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551693",
"telephone_number": "319-752-8424",
"fax_number": "319-752-7327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARNAMA",
"first_name": "YADOLAH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2008-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": "IA",
"license": "26392",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0258343",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.