Jeffrey R Yessenow, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

01030811A Issued in IN

Practice address

9250 Columbia Ave
Ste A2
Munster, IN 46321

Phone

(219) 513-1300

Fax

(219) 513-2385

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Gama PC Inc

  • Gynecology Physician
  • Munster, IN
  • NPI 1952587776
  Authorized official Same address or phone
• Illiana Surgery and Medical Center

  dba Illiana Rehabilitation Services

  • Physical Therapist
  • Munster, IN
  • NPI 1134175490
  NPD (past) Authorized official

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1194725135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "STE A2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-1300",
            "fax_number": "219-513-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLUMBIA AVE",
            "address_2": "STE A2",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-513-1300",
            "fax_number": "219-513-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YESSENOW",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01030811A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lingyun Xiong
• Jennifer Rebecca Yalowitz, LMFT
• Erica Lynne Yamout, D.O.
• Jim Yao, M.D.
• Yessenow Centre, P.C.
• Jung Woo Yi, ACUPUNCTURIST
• Stacey Yoder, P.T.
• Anastasia M Yorkman, FNP-C
• Alexander David Young, M.D.
• Fredric D Young, MD

• Gynecology Physician in Munster, IN
• Providers in Munster, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.