Individual provider Active NPI

Yadolah Karnama, MD

  • Ophthalmic Technician/Technologist
  • West Burlington, IA
National Provider Identifier
1093701989
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
26392 Issued in IA
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

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0258343MedicaidIA

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.

Verify at the official NPI Registry.