Active NPI
Yoram Yakimovsky, MD
- Anesthesiology Physician
- West Linn, OR
National Provider Identifier
1174532485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD12635
- Practice address
- 17860 Robin View CT
West Linn, OR 97068-1055 - Phone
- (503) 954-6074
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD12635 | OR | Primary |
Addresses
Primary practice location
17860 Robin View CT
West Linn, OR 97068-1055
Mailing address
17860 Robin View CT
West Linn, OR 97068-1055
Phone (503) 954-6074
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226654 | Medicaid | OR | |
| MD8142R | Medicaid | AK | |
| 050000426 | Other | OR | RR MEDICARE |
| 1768704 | Medicaid | WA | |
| 4160444 00 | Medicaid | MD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459123200000",
"number": "1174532485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17860 ROBIN VIEW CT",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681055",
"telephone_number": "503-954-6074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17860 ROBIN VIEW CT",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970681055",
"telephone_number": "503-954-6074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKIMOVSKY",
"first_name": "YORAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2016-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD12635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226654",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD8142R",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "050000426",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1768704",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4160444 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.