Active NPI
Yuli Soeter, MD
- Interventional Pain Medicine Physician
- Valparaiso, IN
National Provider Identifier
1104899392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 1999136268
- Practice address
- 2000 Roosevelt Rd
Valparaiso, IN 46383-2800 - Phone
- (219) 983-8300
- Fax
- (573) 686-8271
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 1999136268 | MO | Primary |
Addresses
Primary practice location
2000 Roosevelt Rd
Valparaiso, IN 46383-2800
Mailing address
PO Box 393
Poplar Bluff, MO 63901
Phone (573) 785-4601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20599005 | Medicaid | MO |
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": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1104899392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 393",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "63901",
"telephone_number": "573-785-4601",
"fax_number": "573-776-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ROOSEVELT RD",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832800",
"telephone_number": "219-983-8300",
"fax_number": "573-686-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOETER",
"first_name": "YULI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MO",
"license": "1999136268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20599005",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.