Active NPI
Stanley B Yunker, M.D.
- Family Medicine Physician
- Anchorage, AK
National Provider Identifier
1164632899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME108012
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164632899 | Medicaid | FL |
Other names 1
- S Brett Yunker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141216000106 | AK | Order and Referring Only - Family Practice | 5799961140 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108012 | FL | MD | Family Medicine Physician |
| TRN11356 | FL | MD | Family 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.