NPIMap

Individual provider Active NPI

Jon Yeargan, MD

  • Family Medicine Physician
  • Newark, DE
National Provider Identifier
1184698201
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1007394 Issued in DE
Practice address
300 Biddle Avenue
Suite 200
Newark, DE 19702
Phone
(302) 838-4750
Fax
(302) 838-4755
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C1007394 DE Primary

Addresses

Primary practice location

300 Biddle Avenue
Suite 200
Newark, DE 19702

Mailing address

PO Box 30170
Wilmington, DE 19805
Phone (302) 838-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110001031 DE Practitioner - Family Practice 7517928351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

1401 Foulk Rd
Wilmington, DE 19803-2764

300 Biddle Ave
BLDG Suite200
Newark, DE 19702-3969
Phone (302) 838-4750

726 Yorklyn Rd
Suite 100
Hockessin, DE 19707-8745
Phone (302) 234-5770

Hospital & facility affiliations

  • Christianacare Homehealth Home health agency, Wilmington, DE, CCN 087002
  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • Amedisys Home Health Home health agency, Elkton, MD, CCN 217151
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1007394DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Family Medicine CurrentSince Dec 1, 2014 Accepting new patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Nov 2, 1992 Accepting new patients
Christiana Care Health Services, Inc Family Medicine Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 2, 1992 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

300 Biddle Ave
Ste 200
Newark, DE 19702
Phone (302) 838-4750

300 Biddle Ave
Ste 2
Newark, DE 19702
Phone (302) 838-4750

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1401 Foulkstone Plz
Wilmington, DE 19803
Phone (302) 477-4305

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1184698201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19805",
            "telephone_number": "302-838-4750",
            "fax_number": "302-838-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BIDDLE AVENUE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-838-4750",
            "fax_number": "302-838-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARGAN",
        "first_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1007394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.