Individual provider Active NPI

Joseph Michael Yurso, M.D.

  • Surgery Physician
  • Altamonte Springs, FL
National Provider Identifier
1124018205
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0050958 Issued in FL
Practice address
661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105
Phone
(407) 834-6965
Fax
(407) 834-0424
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0050958 FL Primary

Addresses

Primary practice location

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105

Mailing address

661 E Altamonte Dr
Suite 323
Altamonte Springs, FL 32701-5105
Phone (407) 834-6965

Other identifiers 1

IdentifierTypeStateIssuer
046476700MedicaidFL

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

LicenseStateTypeSpecialty
0050958FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Surgical Group PA Surgery PastSince Jan 1, 1996 Accepting new patients

Organizations & group practices 1

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1124018205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 323",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-834-6965",
            "fax_number": "407-834-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURSO",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "0050958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046476700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.