Active NPI
Melvin Anthony Yeshnik, M.D.
- Obstetrics & Gynecology Physician
- Westminster, MD
National Provider Identifier
1124012166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- DOO30191
- Practice address
- 511 Jermor LN
Suite 101
Westminster, MD 21157-6151 - Phone
- (410) 876-5400
- Fax
- (410) 871-9917
- NPI assigned
- Sep 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | DOO30191 | MD | Primary |
Addresses
Primary practice location
511 Jermor LN
Suite 101
Westminster, MD 21157-6151
Mailing address
511 Jermor LN
Suite 101
Westminster, MD 21157-6151
Phone (410) 876-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661116800 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOO30191 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carroll County Health Department | Current | Accepting new patients | |
| Carroll County Health Department | Current | Accepting new patients | |
| Carroll County Health Department | Current | Accepting new patients | |
| Carroll Health Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
290 S Center St
Westminster, MD 21157
Phone (410) 876-4970
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.
-
- Public Health or Welfare Agency
- Westminster, MD
- NPI 1023558731
-
- Public Health or Welfare Agency
- Westminster, MD
- NPI 1275802050
-
- Public Health or Welfare Agency
- Westminster, MD
- NPI 1366711145
-
- Internal Medicine Physician
- Westminster, MD
- NPI 1437473550
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1124012166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 JERMOR LN",
"address_2": "SUITE 101",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576151",
"telephone_number": "410-876-5400",
"fax_number": "410-871-9917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 JERMOR LN",
"address_2": "SUITE 101",
"city": "WESTMINSTER",
"state": "MD",
"postal_code": "211576151",
"telephone_number": "410-876-5400",
"fax_number": "410-871-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YESHNIK",
"first_name": "MELVIN",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "DOO30191",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "661116800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.