Active NPI
Carl Cecil Yoder, MD
- Neurology with Special Qualifications in Child Neurology Physician
- Joint Base Lewis McChord, WA
National Provider Identifier
1194796672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 15540
- Practice address
- 9040 Reid St
Joint Base Lewis McChord, WA 98431-1100 - Phone
- (253) 968-0502
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 15540 | OK | Primary |
Addresses
Primary practice location
9040 Reid St
Joint Base Lewis McChord, WA 98431-1100
Mailing address
5116 84TH Ave W
University Place, WA 98467-1826
Phone (253) 565-6832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15540 | OK | MD | Neurology with Special Qualifications in Child Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1194796672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 84TH AVE W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984671826",
"telephone_number": "253-565-6832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 REID ST",
"city": "JOINT BASE LEWIS MCCHORD",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "253-968-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YODER",
"first_name": "CARL",
"middle_name": "CECIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "OK",
"license": "15540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joint Base Lewis McChord, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.