Individual provider Active NPI

Stanley B Yunker, M.D.

  • Family Medicine Physician
  • Anchorage, AK
National Provider Identifier
1164632899
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME108012 Issued in FL
Practice address
5955 Zeamer Ave RM 1-139
Anchorage, AK 99506-3702
Phone
(907) 580-0293
Fax
(907) 580-6444
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN11356 FL
Family Medicine Physician 207Q00000X ME108012 FL Primary

Addresses

Primary practice location

5955 Zeamer Ave RM 1-139
Anchorage, AK 99506-3702

Mailing address

5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone (907) 580-0293

Other identifiers 1

IdentifierTypeStateIssuer
1164632899MedicaidFL

Other names 1

  • S Brett Yunker Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216000106 AK Order and Referring Only - Family PracticePractitioner - Family Practice 5799961140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108012FLMDFamily Medicine Physician
TRN11356FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1164632899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-0293",
            "fax_number": "907-580-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE RM 1-139",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-0293",
            "fax_number": "907-580-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNKER",
        "first_name": "STANLEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN11356",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME108012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164632899",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S",
            "last_name": "YUNKER",
            "middle_name": "BRETT",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.