Active NPI
Tony L. Yeiter, MD
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 01030915A
- Practice address
- 2560 N. Shadeland Ave.
Suite a
Indianapolis, IN 46219-1706 - Phone
- (317) 275-8072
- Fax
- (317) 275-8018
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 01030915A | IN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01030915A | IN | Primary |
Addresses
Primary practice location
2560 N. Shadeland Ave.
Suite a
Indianapolis, IN 46219-1706
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000092722 | Other | IN | ANTHEM |
| 100078090A | Medicaid | IN | |
| 000000006841 | Other | IN | MPLAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01030915A | IN | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Ameripath Indianapolis PC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
13179 Collection Ctr Dr
Chicago, IL 60693
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
2560 N Shadeland Ave
Ste A
Indianapolis, IN 46219
Phone (317) 275-8000
1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041
14275 Midway Rd
Ste 400
Addison, TX 75001
Phone (214) 932-8018
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Indianapolis, IN
- NPI 1942374517
-
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1316919079
Anatomic Pathology & Clinical Pathology
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Anatomic Pathology & Clinical Pathology Physician
- Rolla, MO
- NPI 1053102004
-
- Clinical Medical Laboratory
- Cincinnati, OH
- NPI 1477799666
Anatomic Pathology & Clinical Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430438400000",
"number": "1104803121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2560 N. SHADELAND AVE.",
"address_2": "SUITE A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191706",
"telephone_number": "317-275-8072",
"fax_number": "317-275-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEITER",
"first_name": "TONY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2015-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "IN",
"license": "01030915A",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01030915A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000092722",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100078090A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPLAN",
"identifier": "000000006841",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.