Organization Active NPI

Reena a Yonkosky, MD PC

  • Ambulatory Surgical Clinic/Center
  • Cumming, GA
National Provider Identifier
1174580518
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
REENA A YONKOSKY, MD PC
Practice address
110 Samaritan Dr.
Suite 101
Cumming, GA 30040
Phone
(678) 965-5860
Fax
(678) 965-5861
NPI assigned
Apr 28, 2006
Last updated
Aug 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Reena A Yonkosky, MD
Title
Owner/ Medical MGR
Phone
(678) 965-5860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

110 Samaritan Dr.
Suite 101
Cumming, GA 30040

Mailing address

110 Samaritan Dr.
Suite 101
Cumming, GA 30040
Phone (678) 965-5860

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1174580518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR.",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-965-5860",
            "fax_number": "678-965-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SAMARITAN DR.",
            "address_2": "SUITE 101",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-965-5860",
            "fax_number": "678-965-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REENA A YONKOSKY, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "YONKOSKY",
        "authorized_official_first_name": "REENA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ MEDICAL MGR",
        "authorized_official_telephone_number": "678-965-5860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.