Active NPI
Wen Tjoen Yap, M.D.
- Specialist
- Green Bay, WI
National Provider Identifier
1164424818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 46447
- Practice address
- 720 S Van Buren St
Suite 301
Green Bay, WI 54301-3538 - Phone
- (920) 433-9400
- Fax
- (940) 433-9409
- NPI assigned
- Aug 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 46447 | WI | Primary |
Addresses
Primary practice location
720 S Van Buren St
Suite 301
Green Bay, WI 54301-3538
Mailing address
720 S Van Buren St
Suite 301
Green Bay, WI 54301-3538
Phone (920) 433-9400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3402210621 | Other | MI | BLUE CROSS MI |
| 34478000 | Medicaid | WI | |
| 4744066 | Medicaid | MI |
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 |
|---|---|---|---|
| 46447 | WI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453075200000",
"number": "1164424818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 S VAN BUREN ST",
"address_2": "SUITE 301",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013538",
"telephone_number": "920-433-9400",
"fax_number": "940-433-9409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 S VAN BUREN ST",
"address_2": "SUITE 301",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013538",
"telephone_number": "920-433-9400",
"fax_number": "940-433-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAP",
"first_name": "WEN",
"middle_name": "TJOEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2016-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WI",
"license": "46447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MI",
"identifier": "3402210621",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34478000",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4744066",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.