Individual provider Active NPI

Yoomi Oh, PA

  • Primary Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1174933808
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP125619 Issued in TX
Practice address
8930 Four Winds Dr
Suite 243
San Antonio, TX 78239
Phone
(210) 590-1563
NPI assigned
May 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP125619 TX Primary

Addresses

Primary practice location

8930 Four Winds Dr
Suite 243
San Antonio, TX 78239

Mailing address

850 Central Pkwy E
Suite 275
Plano, TX 75074-5561
Phone (972) 668-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150108002435 TX Practitioner - Nurse Practitioner 2365765849 Reassigns benefits to 1 organization
I20201223002112 WA Practitioner - Nurse Practitioner 2365765849 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Physician Assistant

State licenses

LicenseStateTypeSpecialty
AP125619TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ys Orthopedics, PLLC CurrentSince Sep 22, 2015 Accepting new patients
Olympic View Chiropractic, PS CurrentSince Nov 1, 2020 Accepting new patients
On-Site Massage, Inc. Past Accepting new patients

Locations

1650 Lockhill Selma Rd
San Antonio, TX 78213
Phone (210) 224-8100

626 128th St SW
Ste 103B
Everett, WA 98204
Phone (425) 513-1880

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1174933808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 CENTRAL PKWY E",
            "address_2": "SUITE 275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745561",
            "telephone_number": "972-668-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 FOUR WINDS DR",
            "address_2": "SUITE 243",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78239",
            "telephone_number": "210-590-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "YOOMI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-02",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP125619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.