Kenneth E Yagodich, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01037698 Issued in IN

Legal business name

KENNETH E YAGODICH, MD, PC

Practice address

1200 Heinlein Rd
Evansville, IN 47725-6379

Phone

(812) 868-0800

Fax

(812) 868-0804

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Eric Yagodich, MD

Title

President

Phone

(812) 868-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1194090308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HEINLEIN RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256379",
            "telephone_number": "812-868-0800",
            "fax_number": "812-868-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HEINLEIN RD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477256379",
            "telephone_number": "812-868-0800",
            "fax_number": "812-868-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH E YAGODICH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "YAGODICH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-868-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01037698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1578604633",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Kendall
• Sasha Kendall, LCSW, LCAC
• De'Yonna C Kendrick, NP
• Brooke Allison Kennedy, PT, DPT
• Jacob H Kennedy, MD
• Kenneth J. Helm
• Jeri L Kenning, RN
• Kent R. Burress, DPM, LLC (Burress & Serletic Podiatry)
• Brandi Keown, REGISTERED DIETITIAN
• Holly Michelle Keown

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.