Dr Elliott Yolles PSC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DR ELLIOTT YOLLES PSC

Practice address

2020 W 86TH St
Suite 104
Indianapolis, IN 46260-1931

Phone

(317) 872-8772

Fax

(317) 872-2383

NPI assigned

Jan 11, 2008

Organization subpart

Yes

Parent organization

DR. ELLIOTT YOLLES PSCAs reported in NPPES

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

Authorized official

Name

Dr. Elliott A Yolles, M.D.

Title

Owner/Physician

Phone

(317) 872-8772

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Elliott a Yolles MD

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1104002815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W 86TH ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601931",
            "telephone_number": "317-872-8772",
            "fax_number": "317-872-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W 86TH ST",
            "address_2": "SUITE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601931",
            "telephone_number": "317-872-8772",
            "fax_number": "317-872-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELLIOTT YOLLES PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. ELLIOTT YOLLES PSC",
        "enumeration_date": "2008-01-11",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "YOLLES",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-872-8772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01025241A",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100057550",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; 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.