Individual provider Active NPI

Yen-Jwu O Lamm, MD

  • Family Medicine Physician
  • Miramar, FL
National Provider Identifier
1104087717
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-01928 Issued in NC
Practice address
3601 SW 160TH Ave
Ste 250
Miramar, FL 33027-6308
Phone
(877) 866-7123
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0101247401 VA
Family Medicine Physician 207Q00000X 2011-01928 NC Primary

Addresses

Primary practice location

3601 SW 160TH Ave
Ste 250
Miramar, FL 33027-6308

Mailing address

PO Box 62327
Virginia Beach, VA 23466-2327
Phone (757) 490-9388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120727000329 NC Practitioner - Emergency Medicine 2163554064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Brody School of Medicine at East Carolina University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vohra Wound Physicians of Ny PLLCGroup PAC ID 0446410435, 35 clinicians

Practice addresses (Care Compare)

120 Southwood Dr
Clinton, NC 28328-5002
Phone (910) 592-7981

180 Southwood Dr
Clinton, NC 28328-5002
Phone (910) 592-8165

3331 Tate Boulevard SE
Hickory, NC 28602-1455
Phone (877) 866-7123

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue182
Removal of skin lesions19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101247401VAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CFV Express Care Billing Services LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Aug 4, 2014 Accepting new patients
Tidewater Emergency Medical Care PastSince Feb 2, 2020 Accepting new patients
Tidewater Emergency Medical Care, LTD. Emergency Medicine Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

6387 Ramsey St
Unit 100
Fayetteville, NC 28311
Phone (910) 615-3879

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

150 Robeson St
Fayetteville, NC 28301
Phone (910) 609-1000

717 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 444-6894

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1104087717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62327",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234662327",
            "telephone_number": "757-490-9388",
            "fax_number": "757-490-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SW 160TH AVE",
            "address_2": "STE 250",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330276308",
            "telephone_number": "877-866-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMM",
        "first_name": "YEN-JWU",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "VA",
            "license": "0101247401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.