Yessenow Centre, P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01039206A Issued in IN

Legal business name

YESSENOW CENTRE, P.C.

Practice address

9250 Columbia Ave
Suite a-2
Munster, IN 46321-3538

Phone

(219) 836-8136

Fax

(219) 836-8135

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Valorie Peck

Title

Office Manager

Phone

(219) 836-8136

Specialties & licenses 1

Addresses

Other identifiers 5

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1134329477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE A-2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-836-8136",
            "fax_number": "219-836-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "SUITE A-2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463213538",
            "telephone_number": "219-836-8136",
            "fax_number": "219-836-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESSENOW CENTRE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "219-836-8136",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01039206A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE NO.",
            "identifier": "942359",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NO.",
            "identifier": "88688",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NO.",
            "identifier": "1859137007",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NO.",
            "identifier": "4411395",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IL PROVIDER NO.",
            "identifier": "911-08053",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ioannis Dimitrios Xenidis, D.O.
• Lingyun Xiong
• Jennifer Rebecca Yalowitz, LMFT
• Erica Lynne Yamout, D.O.
• Jim Yao, M.D.
• Jeffrey R Yessenow, MD
• Jung Woo Yi, ACUPUNCTURIST
• Stacey Yoder, P.T.
• Anastasia M Yorkman, FNP-C
• Alexander David Young, M.D.

• Plastic Surgery Physician in Munster, IN
• Providers in Munster, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.