Active NPI
Emre N. Yedidag, M.D.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1124051933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036.118805
- Practice address
- 2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365 - Phone
- (773) 292-4800
- Fax
- (773) 486-3548
- NPI assigned
- Jul 8, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD2005-0749 | NM | |
| Surgery Physician | 208600000X | 036.118805 | IL | Primary |
Addresses
Primary practice location
2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365
Mailing address
2003 W Fulton St Ste 3
C/O Mr. Scott Schneider, President
Chicago, IL 60612-2365
Phone (773) 292-4800
Other names 1
- Mr. Necmi Emre Yedidag
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 |
|---|---|---|---|
| 036.118805 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Clinic Corp | Surgery | Past | 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": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1124051933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 W FULTON ST STE 3",
"address_2": "C/O MR. SCOTT SCHNEIDER, PRESIDENT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122365",
"telephone_number": "773-292-4800",
"fax_number": "773-486-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 W FULTON ST STE 3",
"address_2": "C/O MR. SCOTT SCHNEIDER, PRESIDENT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606122365",
"telephone_number": "773-292-4800",
"fax_number": "773-486-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEDIDAG",
"first_name": "EMRE",
"middle_name": "N.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD2005-0749",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036.118805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NECMI",
"last_name": "YEDIDAG",
"middle_name": "EMRE",
"prefix": "MR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.